Provider Demographics
NPI:1467504514
Name:WHALEN, DOROTHY KARALEKAS (MSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:KARALEKAS
Last Name:WHALEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GREENVILLE THERAPY CENTER
Mailing Address - Street 2:3519 PELHAM ROAD SUITE 103
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-234-6778
Mailing Address - Fax:864-234-2474
Practice Address - Street 1:GREENVILLE THERAPY CENTER
Practice Address - Street 2:3519 PELHAM ROAD SUITE 103
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-234-6778
Practice Address - Fax:864-234-2474
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLISW CP SC#47101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ32452Medicare ID - Type Unspecified
SC6193Medicare ID - Type UnspecifiedGROUP