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

James Whisner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073062485

James Whisner is a Clinical Social Worker in Fredericktown, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Centerville Clinics, Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone: (724) 632-6801
Fax: (724) 632-6312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW022348 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073062485
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022
Mailing address1070 Old National Pike, Fredericktown, PA 15333-2114

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centerville Clinics, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare