MRS. WHITNEY STANA BLAKELY LCSW MSW
NPI 1831532803
Social Worker in Rockford, IL

Q: What is Whitney Blakely's NPI number?

The NPI number for Whitney Blakely is 1831532803. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Whitney Blakely's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Whitney Blakely was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 09, 2013PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Whitney Stana Blakely Lcsw Msw NPPES

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

MRS. WHITNEY STANA BLAKELY LCSW MSW (NPI 1831532803) is an individual social worker in Rockford, Illinois, licensed in Illinois (149015840) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1831532803

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. WHITNEY STANA BLAKELYCredential: LCSW MSW

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

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 9, 2013

✔ NPI 1831532803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IL · 149015840

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

415 S MULFORD RD, Rockford, IL 61108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mrs. Whitney Stana Blakely Lcsw Msw 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 ID143548065

PECOS Enrollment IDI20150406000440

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.

Other Providers at the Same Location NPPES 12

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

DAVID J BORGHI LCSW

Social Worker (Clinical)