Active NPI
Markierra White, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1497582787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149019153
- Practice address
- 2245 W Jackson Blvd
Chicago, IL 60612-2910 - Phone
- (773) 710-9492
- NPI assigned
- Sep 19, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149019153 | IL | Primary |
Addresses
Primary practice location
2245 W Jackson Blvd
Chicago, IL 60612-2910
Mailing address
1638 N McVicker Ave # 2
Chicago, IL 60639-3914
Phone (773) 710-9492
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 |
|---|---|---|---|
| 149019153 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1497582787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 N MCVICKER AVE # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606393914",
"telephone_number": "773-710-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122910",
"telephone_number": "773-710-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MARKIERRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.