MICHELLE JOHNSON WHITNEY (LCSW) – Clinical Social Worker, NPI 1164856555

MICHELLE JOHNSON WHITNEY (LCSW) is a healthcare provider. based in Blue river, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 4949 (OR). The NPI Number for MICHELLE JOHNSON WHITNEY (LCSW) is 1164856555

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE JOHNSON WHITNEY (LCSW)
NPI
1164856555
Phone
(541) 822-3341
Address
54771 McKenzie Hwy
Enumeration Date
21 August 2013
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036308550
Graduation Year
2007 (19 years ago)
PAC ID
4183858194
Group Practice PAC ID
3476786609
Professional Enrollment ID
I20131007000658
Address ID
OR970239312ES535XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for MICHELLE JOHNSON WHITNEY (LCSW)

  • 54771 McKenzie Hwy

    Blue River, OR 974139790

    Phone: (541) 822-3341

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8562

    Fax: (503) 418-5505

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8562

    Fax: (503) 418-5505

    Type: Location

  • 47815 Highway 58

    Oakridge, OR 974639572

    Phone: (541) 782-8304

    Type: Location

  • 24934 Fir Grove Ln

    Elmira, OR 974379751

    Phone: (541) 234-3255

    Type: Location

  • 535 NE 6TH AVE

    ESTACADA, OR 970239312

    Phone: (503) 630-8550

    Type: Location

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: 2013-10-07

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
I20131007000658IClinical Social WorkerORTBD

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 97413)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476786609View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
Physician AssistantFL
Physician AssistantOR
N E U R O L O G YCA
Nurse PractitionerOR
Mental Health CounselorOR
Nurse PractitionerOR
-OR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the registry number for MICHELLE JOHNSON WHITNEY (LCSW)?
The registry entry for MICHELLE JOHNSON WHITNEY (LCSW) shows NPI 1164856555.
Should I treat MICHELLE JOHNSON WHITNEY (LCSW) as an active provider?
Patients and plans typically see MICHELLE JOHNSON WHITNEY (LCSW) as active in the national extract.
What does the directory say MICHELLE JOHNSON WHITNEY (LCSW) does?
Insurance directories may phrase it differently, but here MICHELLE JOHNSON WHITNEY (LCSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHELLE JOHNSON WHITNEY (LCSW)?
MICHELLE JOHNSON WHITNEY (LCSW) is associated with Blue River, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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