Lilly K. White, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2022041284 Issued in MO

Practice address

100 W Main St
Shelbyville, MO 63469-1300

Phone

(573) 425-5105

NPI assigned

Jul 13, 2021

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lilly K. Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Breath Mindset, LLC

  • Clinical Social Worker
  • Shelbyville, MO
  • NPI 1932060159
  NPD Authorized official
• Illinois Veterans Home at Quincy

  • Physical Disabilities Residential Treatment Facility
  • Quincy, IL
  • NPI 1386708568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1013589753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9438 HIGHWAY C",
            "city": "HUNNEWELL",
            "state": "MO",
            "postal_code": "634433038",
            "telephone_number": "217-320-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "MO",
            "postal_code": "634691300",
            "telephone_number": "573-425-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LILLY",
        "middle_name": "K.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022041284",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLY",
            "last_name": "LOPEZ",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• North Shelby School District
• One Breath Mindset, LLC
• Mary Kay Rich, CCC-SLP
• Salt River Ambulance District
• Shelby County Health Dept & Home Health Agency

• Clinical Social Worker in Shelbyville, MO
• Providers in Shelbyville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.