Provider Demographics
NPI:1205256096
Name:WHITTINGTON, SYLVIA CLERIECE (ACSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:CLERIECE
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9008 CLINE AVE
Mailing Address - Street 2:9008 CLINE AVENUE
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2204
Mailing Address - Country:US
Mailing Address - Phone:219-838-8001
Mailing Address - Fax:219-838-8020
Practice Address - Street 1:9008 CLINE AVE
Practice Address - Street 2:9008 CLINE AVENUE
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2204
Practice Address - Country:US
Practice Address - Phone:219-838-8001
Practice Address - Fax:219-838-8020
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002077A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical