Individual provider Active NPI

Dorian White

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1124445796
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2904 S 70TH St
Box 33079
Philadelphia, PA 19142-2565
Phone
(215) 313-9944
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 Primary

Addresses

Primary practice location

2904 S 70TH St
Box 33079
Philadelphia, PA 19142-2565

Mailing address

PO Box 33079
Philadelphia, PA 19142-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230113000027 PA Practitioner - Clinical Social Worker 0547631335 Reassigns benefits to 1 organization
I20230526001495 NC Practitioner - Clinical Social Worker 0547631335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

3057 Freedom Dr
Charlotte, NC 28208-3859
Phone (704) 525-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 30, 2022 Accepting new patients
Monarch CurrentSince Jun 1, 2023 Accepting new patients
Monarch CurrentSince Jun 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1124445796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33079",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191420079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S 70TH ST",
            "address_2": "BOX 33079",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422565",
            "telephone_number": "215-313-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DORIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.