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

Michael Dwayne Whiteside II

Individual provider Clinical Social Worker · NPI 1033887054

Michael Dwayne Whiteside II is a Clinical Social Worker in Arlington, Virginia. Qualified in 2021, 5 years ago. Practices with Limelight Recovery LLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Virginia.

Years since qualifying
5
Licensed in
IN, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3400 S Clark St Apt 722
Arlington, VA 22202-4059
Phone: (317) 654-3078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2554 S Flat Rock Rd, Bloomington, IN 47403-3285 — (812) 269-2906

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904015430 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 99105879A (IN)

Record details

NPI number1033887054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address3400 S Clark St Apt 722, Arlington, VA 22202-4059

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Limelight Recovery Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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