Active NPI
Henry White
- Clinical Social Worker
- Somerville, MA
National Provider Identifier
1386392413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 228419
- Practice address
- 2 North St
Somerville, MA 02144-1418 - Phone
- (508) 269-0879
- NPI assigned
- Mar 17, 2022
- Sex
- Male
- 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 | 228419 | MA | Primary |
Addresses
Primary practice location
2 North St
Somerville, MA 02144-1418
Mailing address
56 Bower St # 1
Medford, MA 02155-3662
Phone (508) 269-0879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2026 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228419 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1386392413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BOWER ST # 1",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553662",
"telephone_number": "508-269-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 NORTH ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441418",
"telephone_number": "508-269-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-17",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "228419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.