Active NPI
Chantay P White-Eley, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1184761256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q10000842
- Practice address
- 2121 Eisenhower Ave Ste 301
Alexandria, VA 22314-4688 - Phone
- (253) 576-8514
- Fax
- (240) 846-5999
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q10000842 | DE | Primary |
Addresses
Primary practice location
2121 Eisenhower Ave Ste 301
Alexandria, VA 22314-4688
Mailing address
316 Lismore Dr
Fort Washington, MD 20744-6512
Phone (253) 576-8514
Other practice location 1
1660 L St NW Ste 503
Washington, DC 20036-5667
Phone (253) 576-8514
Other practice location 2
316 Lismore Dr # Na
Ft Washington, MD 20744-6512
Phone (253) 576-8514
Other names 1
- Chantay P 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 |
|---|---|---|---|
| Q10000842 | DE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1184761256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 LISMORE DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207446512",
"telephone_number": "253-576-8514",
"fax_number": "240-846-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 EISENHOWER AVE STE 301",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144688",
"telephone_number": "253-576-8514",
"fax_number": "240-846-5999"
}
],
"practiceLocations": [
{
"address_1": "1660 L St NW Ste 503",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200365667",
"country_code": "US",
"telephone_number": "253-576-8514",
"fax_number": "240-846-5288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 Lismore Dr # Na",
"address_purpose": "LOCATION",
"city": "Ft Washington",
"state": "MD",
"postal_code": "207446512",
"country_code": "US",
"telephone_number": "253-576-8514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE-ELEY",
"first_name": "CHANTAY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q10000842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANTAY",
"last_name": "WHITE",
"middle_name": "P",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.