Active NPI
Kevin Thomas White, LCSW
- Clinical Social Worker
- Wahiawa, HI
National Provider Identifier
1265148191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09926075
- Practice address
- 296 Sperry Loop
Wahiawa, HI 96786-4119 - Phone
- (256) 499-5990
- NPI assigned
- Jan 24, 2023
- Sex
- Male
- 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 | CSW.09926075 | CO | Primary |
Addresses
Primary practice location
296 Sperry Loop
Wahiawa, HI 96786-4119
Mailing address
296 Sperry Loop
Wahiawa, HI 96786-4119
Phone (256) 499-5990
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 |
|---|---|---|---|
| CSW.09926075 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1265148191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 SPERRY LOOP",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967864119",
"telephone_number": "256-499-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 SPERRY LOOP",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967864119",
"telephone_number": "256-499-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wahiawa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.