MARY ANN WHALEN (LCSW) – Clinical Social Worker, NPI 1770675472

MARY ANN WHALEN (LCSW) is a healthcare provider. based in Bonita springs, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCS20053 (CA). The NPI Number for MARY ANN WHALEN (LCSW) is 1770675472

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANN WHALEN (LCSW)
NPI
1770675472
Phone
(707) 694-9524
Address
28017 OCEANA DR
Enumeration Date
29 September 2006
Last Update Date
22 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
8426283003
Professional Enrollment ID
I20131107000859
Address ID
FL341358630BO28017DRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MARY ANN WHALEN (LCSW)

  • 28017, Oceana Drive, Village Walk, Bonita Springs, Lee County, Florida, 34135, United States

    BONITA SPRINGS, FL 341358630

    Phone: (707) 694-9524

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131107000859IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34135)

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Reviews

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Frequently asked questions

Where can patients find MARY ANN WHALEN (LCSW)'s NPI?
You can confirm MARY ANN WHALEN (LCSW) with NPI 1770675472; it appears in the national provider directory.
Is MARY ANN WHALEN (LCSW) active in the national directory?
MARY ANN WHALEN (LCSW)'s public NPI profile is in an active state.
Can you summarize MARY ANN WHALEN (LCSW)'s specialty in plain language?
Clinically, the directory lists MARY ANN WHALEN (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MARY ANN WHALEN (LCSW)'s primary listing?
We display Bonita Springs, Florida because that is what the record indicates for MARY ANN WHALEN (LCSW).
What if Bonita Springs, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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