Individual provider Active NPI

Viola Eileen White-Douglas, LCSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1053372524
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P003366 Issued in NC
Practice address
Columbia VA Health Care System
6439 Garners Ferry Road
Columbia, SC 29209-1639
Phone
(803) 776-4000
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P003366 NC Primary

Addresses

Primary practice location

Columbia VA Health Care System
6439 Garners Ferry Road
Columbia, SC 29209-1639

Mailing address

Columbia VA Health Care System
6439 Garners Ferry Road
Columbia, SC 29209-1639
Phone (803) 776-4000

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

LicenseStateTypeSpecialty
P003366NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1053372524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLUMBIA VA HEALTH CARE SYSTEM",
            "address_2": "6439 GARNERS FERRY ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091639",
            "telephone_number": "803-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBIA VA HEALTH CARE SYSTEM",
            "address_2": "6439 GARNERS FERRY ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091639",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-DOUGLAS",
        "first_name": "VIOLA",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P003366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.