Individual provider Active NPI

Loren White, LICSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1457769648
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3944C Issued in AL
Practice address
908 20TH St S
472 Community Care Building
Birmingham, AL 35294-2050
Phone
(205) 934-1232
Fax
(205) 975-8950
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3507G AL
Clinical Social Worker 1041C0700X 3944C AL Primary

Addresses

Primary practice location

908 20TH St S
472 Community Care Building
Birmingham, AL 35294-2050

Mailing address

1530 3Rd Ave S
CCB 472
Birmingham, AL 35294-2050
Phone (205) 934-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213001694 AL Practitioner - Clinical Social Worker 6406136258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Alabama Health Services Foundation, PC 2,784 clinicians

Practice addresses (Care Compare)

1515 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 731-9701

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3507GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loren White Counseling Services, LLC Social Worker CurrentSince Feb 6, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 2, 2016 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

908 20th St S
#472
Birmingham, AL 35205
Phone (205) 934-1232

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1457769648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD AVE S",
            "address_2": "CCB 472",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942050",
            "telephone_number": "205-934-1232",
            "fax_number": "205-975-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 20TH ST S",
            "address_2": "472 COMMUNITY CARE BUILDING",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942050",
            "telephone_number": "205-934-1232",
            "fax_number": "205-975-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LOREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3507G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3944C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.