Active NPI
Penelope White, GSW
- Social Worker
- Monroe, LA
National Provider Identifier
1194737940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6394
- Practice address
- 4781 S Grand St
Monroe, LA 71202-6403 - Phone
- 318362543
- Fax
- (318) 362-5428
- NPI assigned
- Aug 12, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6394 | LA | Primary |
Addresses
Primary practice location
4781 S Grand St
Monroe, LA 71202-6403
Mailing address
157 Leisure Dr
Monroe, LA 71203-2807
Phone (318) 362-4506
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6394 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194737940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 LEISURE DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712032807",
"telephone_number": "318-362-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4781 S GRAND ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026403",
"telephone_number": "318362543",
"fax_number": "318-362-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PENELOPE",
"name_prefix": "Ms.",
"credential": "GSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "6394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.