Provider Demographics
NPI:1598172660
Name:WHIPP, MARY MASON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:MASON
Last Name:WHIPP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5501 PATTERSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2025
Mailing Address - Country:US
Mailing Address - Phone:804-288-1788
Mailing Address - Fax:804-288-1644
Practice Address - Street 1:5501 PATTERSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2025
Practice Address - Country:US
Practice Address - Phone:804-288-1788
Practice Address - Fax:804-288-1644
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040086471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical