Active NPI
Jamell Delaine White, LCSW-C
- Social Worker
- Rockville, MD
National Provider Identifier
1457363764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10883
- Practice address
- 200 Wood Hill Rd
Rockville, MD 20850-8724 - Phone
- (301) 838-4200
- Fax
- (301) 309-2596
- NPI assigned
- Aug 13, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10883 | MD | Primary |
Addresses
Primary practice location
200 Wood Hill Rd
Rockville, MD 20850-8724
Mailing address
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (301) 838-4200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235571 | Other | MD | KAISER |
| 292407000 | Other | MD | MAGELLAN |
| 530196598 | Other | MD | TRICARE |
| 901100500 | Medicaid | MD | |
| A2840097 | Other | DC | BCBS |
| 7203306 | Other | MD | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
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": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1457363764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WOOD HILL RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508724",
"telephone_number": "301-838-4200",
"fax_number": "301-309-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WOOD HILL RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508724",
"telephone_number": "301-838-4200",
"fax_number": "301-309-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JAMELL",
"middle_name": "DELAINE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "10883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "235571",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "292407000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "530196598",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901100500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "A2840097",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7203306",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.