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WHITNEY S BLAKELY PC
NPI 1184378762
Social Worker - Clinical in Rockford, IL

Active since February 11, 2022
415 S MULFORD RD, ROCKFORD, IL 61108(815) 979-8164(815) 399-5767 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Whitney S Blakely Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY S BLAKELY PC (NPI 1184378762) is a healthcare organization registered as a clinical in Rockford, Illinois and active in the NPI registry since February 2022. The organization lists Whitney S Blakely, Therapist, as its authorized official.

NPPES Registry Identity

NPI1184378762
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWHITNEY S BLAKELY PC
Location Address415 S MULFORD RDRockford, IL 61108-3011
Mailing Address415 S Mulford RdRockford, IL 61108-3011 · (815) 979-8164 · Fax (815) 399-5767
Phone(815) 979-8164
Fax(815) 399-5767
Organization SubpartNo
Authorized OfficialWhitney S BlakelyTherapist · (815) 979-8164
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1184378762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
415 S MULFORD RD, Rockford, IL 61108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney S Blakely Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Whitney S Blakely PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Whitney Blakely, LCSW MSW
Clinical Social Worker
NPI 1831532803
415 S MULFORD RD
Rockford, IL 61108
(815) 979-8164
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney S Blakely PC's NPI number?

The NPI number for Whitney S Blakely PC is 1184378762. It was assigned to this organization in the NPPES registry on February 11, 2022.

Where is Whitney S Blakely PC located?

Whitney S Blakely PC is located at 415 S Mulford Rd, Rockford, IL 61108. The listed phone number is (815) 979-8164.

What is Whitney S Blakely PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Whitney S Blakely PC enrolled in Medicare?

Yes. Whitney S Blakely PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whitney S Blakely PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Whitney S Blakely PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Whitney S Blakely PC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.