Active NPI
Lindsay Marie White, LICSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1255095451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61130316
- Practice address
- 1601 E 4TH Plain Blvd BLDG 12
Vancouver, WA 98661-3717 - Phone
- (360) 696-4061
- Fax
- (360) 905-1756
- NPI assigned
- Oct 25, 2021
- 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 | LW61130316 | WA | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd BLDG 12
Vancouver, WA 98661-3717
Mailing address
2117 E 26TH St
Vancouver, WA 98661-3901
Phone (714) 296-5319
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 |
|---|---|---|---|
| LW61130316 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1255095451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 E 26TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613901",
"telephone_number": "714-296-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD BLDG 12",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613717",
"telephone_number": "360-696-4061",
"fax_number": "360-905-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61130316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.