IndividualActiveMedicare EnrolledCan Order/Refer

Mr. Douglas Mark Whalen

LICSW

Social Worker - Clinical

NPI: 1114593886Sammamish, Washington, 98074(855) 402-1364Male

About Mr. Douglas Mark Whalen

Mr. Douglas Mark Whalen, LICSW, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1114593886.

Their primary practice is located at 22620 SE 4TH ST STE 130, Sammamish, Washington 98074. Patients can reach the office at (855) 402-1364. Mr. Douglas Mark Whalen is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Mr. Douglas Mark Whalen has been NPI-registered since 2021.

Doctor Details

Identity & Credentials

NPI Number: 1114593886
Entity Type: Individual
First Name: Douglas
Last Name: Whalen
Credential: LICSW
Gender: Male
Sole Proprietor: No
Status: active

Primary Practice Location

Address: 22620 SE 4TH ST STE 130
City: Sammamish
State: Washington
ZIP: 98074-7375
Country: United States
Phone: (855) 402-1364
Fax: (425) 974-7861

Specialty & Taxonomy

Primary Specialty: Social Worker - Clinical
Classification: Social Worker
Specialization: Clinical
Taxonomy Code: 1041C0700X

NPI Registration

Enumeration Date: Jun 2, 2021
Last Updated: Jul 8, 2025
Certification Date: Jul 8, 2025

Mailing Address

Address: 22620 SE 4TH ST STE 130
City: SAMMAMISH
State: WA
ZIP: 980747375

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Mr. Douglas Mark Whalen's NPI number?

Mr. Douglas Mark Whalen's National Provider Identifier (NPI) is 1114593886. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Mr. Douglas Mark Whalen specialize in?

Mr. Douglas Mark Whalen specializes in Social Worker - Clinical.

Where is Mr. Douglas Mark Whalen located?

Mr. Douglas Mark Whalen practices at 22620 SE 4TH ST STE 130, Sammamish, Washington 98074. You can reach them by phone at (855) 402-1364.

Does Mr. Douglas Mark Whalen accept Medicare?

Yes, Mr. Douglas Mark Whalen is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Mr. Douglas Mark Whalen offer telehealth or virtual visits?

Mr. Douglas Mark Whalen does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Douglas Mark Whalen is 1114593886.