Individual provider Active NPI

Jonathon W White, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1568659795
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3891 Issued in KY
Practice address
720 W Hill St
Louisville, KY 40208-2216
Phone
(502) 636-3164
Fax
(502) 634-3731
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 3891 KY Primary

Addresses

Primary practice location

720 W Hill St
Louisville, KY 40208-2216

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

2210 Goldsmith Ln Ste 202
Louisville, KY 40218-1038
Phone (502) 656-0953

Other practice location 2

10101 Linn Station Rd Ste 600
Louisville, KY 40223
Phone (502) 589-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100287460MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwhite80492@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180618000893 KY Practitioner - Clinical Social Worker 3476808346 Reassigns benefits to 2 organizations
I20210322002283 IN Practitioner - Clinical Social Worker 3476808346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3891KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Clinical Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Oct 1, 2019 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Seven Counties Services, Inc. Clinical CurrentSince Jun 4, 2018 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 858-9860

720 W Hill St
Louisville, KY 40208
Phone (502) 363-3164

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 6

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1568659795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W HILL ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082216",
            "telephone_number": "502-636-3164",
            "fax_number": "502-634-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Goldsmith Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402181038",
            "country_code": "US",
            "telephone_number": "502-656-0953",
            "fax_number": "800-274-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Linn Station Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40223",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "fax_number": "502-287-0662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JONATHON",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100287460",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhite80492@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "720 W Hill St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402082216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "720 W Hill St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402082216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.