Active NPI
Tia White, DSW, LCSW
- Clinical Social Worker
- Orem, UT
National Provider Identifier
1205142148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95409303501
- Practice address
- 1425 S 550 E
Orem, UT 84097-7136 - Phone
- (801) 717-9162
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 95409303501 | UT | Primary |
Addresses
Primary practice location
1425 S 550 E
Orem, UT 84097-7136
Mailing address
1496 S Sage View CT
Saratoga Springs, UT 84045-6496
Phone (801) 687-5417
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 |
|---|---|---|---|
| 95409303501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1205142148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 S SAGE VIEW CT",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840456496",
"telephone_number": "801-687-5417",
"fax_number": "801-375-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S 550 E",
"city": "OREM",
"state": "UT",
"postal_code": "840977136",
"telephone_number": "801-717-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TIA",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "95409303501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.