Individual provider Active NPI

John White, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1447584420
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005802 Issued in IL
Practice address
8401 Crawford Ave
Ste 106
Skokie, IL 60076-2154
Phone
(847) 423-2625
Fax
(847) 737-1663
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149005802 IL Primary

Addresses

Primary practice location

8401 Crawford Ave
Ste 106
Skokie, IL 60076-2154

Mailing address

8401 Crawford Ave
Ste 106
Skokie, IL 60076-2154
Phone (847) 423-2625

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1447584420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE",
            "address_2": "STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-737-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE",
            "address_2": "STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-737-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.