Provider Demographics
NPI:1669599726
Name:WHETSTONE, TRACEY F (LMSW,DSW)
Entity type:Individual
Prefix:DR
First Name:TRACEY
Middle Name:F
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:LMSW,DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-8949
Mailing Address - Country:US
Mailing Address - Phone:803-476-7304
Mailing Address - Fax:
Practice Address - Street 1:836 US HIGHWAY 321 BYP S
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-6725
Practice Address - Country:US
Practice Address - Phone:803-718-2970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health