Provider Demographics
NPI:1902201718
Name:WHITENHILL, ANGELA (MDIV, LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:WHITENHILL
Suffix:
Gender:F
Credentials:MDIV, LCSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MDIV, LCSW
Mailing Address - Street 1:7821 BERGSTROM DR
Mailing Address - Street 2:#430
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3442
Mailing Address - Country:US
Mailing Address - Phone:909-821-4585
Mailing Address - Fax:
Practice Address - Street 1:7821 BERGSTROM DR
Practice Address - Street 2:#430
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3442
Practice Address - Country:US
Practice Address - Phone:909-821-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW,099236221041C0700X
NCC0098571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical