Active NPI
Chalice White
- Clinical Social Worker
- Pearland, TX
National Provider Identifier
1336996685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 51992
- Practice address
- 12325 Shadow Creek Pkwy Apt 734
Pearland, TX 77584-7385 - Phone
- (504) 319-4004
- NPI assigned
- May 3, 2024
- 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 | 51992 | TX | Primary |
Addresses
Primary practice location
12325 Shadow Creek Pkwy Apt 734
Pearland, TX 77584-7385
Mailing address
12325 Shadow Creek Pkwy Apt 734
Pearland, TX 77584-7385
Phone (504) 319-4004
Other names 1
- Charlice 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 |
|---|---|---|---|
| 51992 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1336996685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 SHADOW CREEK PKWY APT 734",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847385",
"telephone_number": "504-319-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12325 SHADOW CREEK PKWY APT 734",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847385",
"telephone_number": "504-319-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CHALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "51992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLICE",
"last_name": "WHITE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.