MR. EDWARD JOHN WHITACRE LCSW
NPI 1417965583
Social Worker - Clinical in Newport News, VA

Q: What is Edward Whitacre's NPI number?

The NPI number for Edward Whitacre is 1417965583. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Edward Whitacre's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Whitacre was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

11825 ROCK LANDING DR, THE JAMES BUILDING, NEWPORT NEWS, VA 23606(757) 873-1736(757) 873-1028 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Edward John Whitacre Lcsw NPPES

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

MR. EDWARD JOHN WHITACRE LCSW (NPI 1417965583) is an individual clinical provider in Newport News, Virginia, licensed in Virginia (0904002390) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1417965583

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. EDWARD JOHN WHITACRECredential: LCSW

Location Address11825 ROCK LANDING DR, THE JAMES BUILDINGNewport News, VA 23606-4236

Mailing Address4657 Massena DrWilliamsburg, VA 23188-1261 · (757) 566-4824

Phone(757) 873-1736

Fax(757) 873-1028

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417965583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904002390

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.

11825 ROCK LANDING DR, Newport News, VA 23606

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edward John Whitacre Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113186503

PECOS Enrollment IDI20120305000048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT J. KELLY MSW

Social Worker (Clinical)

11825 ROCK LANDING DR, 100 JAMES BLDG.
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

DR. WILLIAM PHILIP BROCKMAN ED.D.

Counselor (Mental Health)

11825 ROCK LANDING DR, THE JAMES BUILDING
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

ANNE C. AJA

Marriage & Family Therapist

11825 ROCK LANDING DR, THE JAMES BLDG.
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

SUSAN RODRIGUEZ LPC, PMH-C

Counselor (Professional)

11825 ROCK LANDING DR
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

DR. GEORGE IRA FENIGSOHN ED.D., LPC

Counselor (Mental Health)

11825 ROCK LANDING DR
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

BONNIE GAIL GRIFFITH LCSW

Social Worker (Clinical)

11825 ROCK LANDING DR
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

DR. BOGDAN NONE IONESCU II M.D.

Psychiatry & Neurology (Psychiatry)

11825 ROCK LANDING DR, JAMES BUILDING
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

MS. KATHRYN CLINE ALLEN LPC

Counselor

11825 ROCK LANDING DR, THE JAMES BUILDING
NEWPORT NEWS, VA 23606

Newport News City (757) 873-1736

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 Edward Whitacre's NPI number?

The NPI number for Edward Whitacre is 1417965583. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Edward Whitacre located?

Edward Whitacre practices at 11825 Rock Landing Dr The James Building, Newport News, VA 23606. The listed phone number is (757) 873-1736.

What is Edward Whitacre's specialty?

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

Is Edward Whitacre enrolled in Medicare?

Yes. Edward Whitacre is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edward Whitacre was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.