Individual provider Active NPI

Frank William White, LCSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1144285115
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8807 Issued in LA
Practice address
820 Jordan St
Ste. 570
Shreveport, LA 71101-4518
Phone
(318) 221-4455
Fax
(318) 221-4459
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 8807 LA Primary

Addresses

Primary practice location

820 Jordan St
Ste. 570
Shreveport, LA 71101-4518

Mailing address

820 Jordan St.
Ste. 570
Shreveport, LA 71101-4512
Phone (318) 221-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000116 LA Practitioner - Clinical Social Worker 7911962212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Jordan St
Suite 570
Shreveport, LA 71101-4512
Phone (318) 221-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8807LAMDClinical Social Worker
1598KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Grayson LCSW LLC Clinical CurrentSince Jan 29, 2023 Accepting new patients
Center for Psychological Trauma, LLC Clinical CurrentSince Jun 13, 2005 Accepting new patients
Three Rivers Family Therapy Center, Inc. Clinical PastSince Oct 4, 2004 Accepting new patients

Locations

820 Jordan St
Ste 570
Shreveport, LA 71101
Phone (318) 221-4455

Organizations & group practices 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1144285115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST.",
            "address_2": "STE. 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "STE. 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FRANK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.