Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Nicole Whiteside, LLMSW

Individual provider Social Worker · NPI 1265105878

Autumn Nicole Whiteside, LLMSW is a Clinical Social Worker in Detroit, Michigan. Qualified in 2020, 6 years ago. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

882 Oakman Blvd Ste D
Detroit, MI 48238-4019
Phone: (313) 961-7990
Fax: (313) 883-6261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851107419 (MI)

Record details

NPI number1265105878
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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