Active NPI
Amy White, MSW, LCSW
- Clinical Social Worker
- Leesburg, VA
National Provider Identifier
1043850464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013841
- Practice address
- 2 Cardinal Park Dr SE
Leesburg, VA 20175-4437 - Phone
- (540) 486-6468
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0135883TELE | VT | |
| Clinical Social Worker | 1041C0700X | Q5-0000049 | DE | |
| Clinical Social Worker | 1041C0700X | 125550 | MA | |
| Clinical Social Worker | 1041C0700X | 0904013841 | VA | Primary |
Addresses
Primary practice location
2 Cardinal Park Dr SE
Leesburg, VA 20175-4437
Mailing address
2 Cardinal Park Dr SE
Leesburg, VA 20175-4437
Phone (571) 473-5609
Other names 1
- Amy J White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5-0000049 | DE | MD | Clinical Social Worker |
| 125550 | MA | MD | Clinical Social Worker |
| 0904013841 | VA | MD | Clinical Social Worker |
| 089.0135883TELE | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1043850464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CARDINAL PARK DR SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754437",
"telephone_number": "571-473-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CARDINAL PARK DR SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754437",
"telephone_number": "540-486-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMY",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0135883TELE",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q5-0000049",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125550",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WHITE",
"middle_name": "J",
"credential": "PLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.