Individual provider Active NPI

Robert M. White, LCSW

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1578566196
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09495 Issued in TX
Practice address
631 Mill St
Ste 101
San Marcos, TX 78666-6732
Phone
(512) 396-8540
Fax
(512) 396-5680
NPI assigned
May 27, 2005
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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 09495 TX Primary

Addresses

Primary practice location

631 Mill St
Ste 101
San Marcos, TX 78666-6732

Mailing address

1631 Woodland Ave
Apt B
Austin, TX 78741-2504
Phone (512) 444-9443

Other identifiers 1

IdentifierTypeStateIssuer
0642936-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080206000455 TX Practitioner - Clinical Social Worker 1052494531 Practice locations: San Marcos, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 S CM Allen Pkwy
San Marcos, TX 78666-6954
Phone (512) 396-8540

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1578566196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WOODLAND AVE",
            "address_2": "APT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787412504",
            "telephone_number": "512-444-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MILL ST",
            "address_2": "STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666732",
            "telephone_number": "512-396-8540",
            "fax_number": "512-396-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642936-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.