Provider Demographics
NPI:1447521679
Name:COURSON, WHITNEY LASHOMB (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LASHOMB
Last Name:COURSON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MRS
Other - First Name:WHITNEY
Other - Middle Name:LASHOMB
Other - Last Name:SMALLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-2800
Mailing Address - Country:US
Mailing Address - Phone:315-261-5405
Mailing Address - Fax:
Practice Address - Street 1:20 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-2800
Practice Address - Country:US
Practice Address - Phone:315-261-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084573-1104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker