Active NPI
William Jerry White Jr., LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1558694042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801046207
- Practice address
- 2750 S State St
Ann Arbor, MI 48104-6179 - Phone
- (734) 662-6300
- Fax
- (734) 662-3365
- NPI assigned
- Sep 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 6801046207 | MI | Primary |
Addresses
Primary practice location
2750 S State St
Ann Arbor, MI 48104-6179
Mailing address
2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (734) 646-1086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801046207 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1558694042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 S STATE ST STE 150",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046188",
"telephone_number": "734-646-1086",
"fax_number": "734-761-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046179",
"telephone_number": "734-662-6300",
"fax_number": "734-662-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "WILLIAM",
"middle_name": "JERRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801046207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.