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

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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