GEORGE CARPENTER WHITELEY IV LLMSW
NPI 1740139633
Social Worker - Clinical in Ann Arbor, MI

Active since January 24, 2026Opted out of Medicare · through May 5, 2028
2610 W LIBERTY ST, ANN ARBOR, MI 48103(917) 496-9493 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George Carpenter Whiteley Iv Llmsw NPPES

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

GEORGE CARPENTER WHITELEY IV LLMSW (NPI 1740139633) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801121633) and active in the NPI registry since January 2026. He has opted out of Medicare through May 5, 2028 and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1740139633
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGEORGE CARPENTER WHITELEY IVCredential: LLMSW
Location Address2610 W LIBERTY STAnn Arbor, MI 48103-6560
Mailing Address1210 Miller AveAnn Arbor, MI 48103-3755
Sole ProprietorNo
Enumeration DateJanuary 24, 2026
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1740139633 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 MI · 6801121633
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.
2610 W LIBERTY ST, Ann Arbor, MI 48103

Secondary Practice Location 1

Location 11210 Miller AveAnn Arbor, MI 48103-3755 · Phone (917) 496-9493

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

George Carpenter Whiteley Iv Llmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2026 through May 5, 2028.

Opt-Out Effective DateMay 5, 2026
Opt-Out In Effect ThroughMay 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Social Worker
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Student in an Organized Health Care Education/Training Program
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychiatry & Neurology (Psychiatry)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Social Worker
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychologist
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychologist (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychologist (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Social Worker (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103

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 George Whiteley's NPI number?

The NPI number for George Whiteley is 1740139633. It was assigned to this individual provider in the NPPES registry on January 24, 2026.

Where is George Whiteley located?

George Whiteley practices at 2610 W Liberty St, Ann Arbor, MI 48103. The listed phone number is (917) 496-9493.

What is George Whiteley's specialty?

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

Is George Whiteley enrolled in Medicare?

No. George Whiteley has opted out of Medicare through May 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for George Whiteley was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.