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

Mrs. Whitney Stana Blakely, LCSWMSW

Individual provider Social Worker · NPI 1831532803

Mrs. Whitney Stana Blakely, LCSWMSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2013
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Practice location Address checks out

415 S Mulford Rd
Rockford, IL 61108-3011
Phone: (815) 979-8164
Fax: (815) 399-5767
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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 149015840 (IL)

Record details

NPI number1831532803
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWMSW
Sole proprietorYes
NPI enumeratedApril 9, 2013
Last updated in NPPESApril 9, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford