Individual provider Active NPI

Karol L. White, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1578833257
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007106 Issued in IA
Practice address
4403 1St Ave SE Ste 503
Cedar Rapids, IA 52402-3257
Phone
(319) 651-5955
NPI assigned
Jan 11, 2012
Last updated
Sep 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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 007106 IA Primary

Addresses

Primary practice location

4403 1St Ave SE Ste 503
Cedar Rapids, IA 52402-3257

Mailing address

4403 1St Ave SE Ste 503
Cedar Rapids, IA 52402-3257
Phone (319) 651-5955

Other practice location 1

1026 A Ave NE
St. Luke's Counseling Center - 3rd floor RC
Cedar Rapids, IA 52402-5036
Phone (319) 369-7952

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

LicenseStateTypeSpecialty
007106IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1578833257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 503",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023257",
            "telephone_number": "319-651-5955",
            "fax_number": "319-393-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 503",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023257",
            "telephone_number": "319-651-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 A Ave NE",
            "address_2": "St. Luke's Counseling Center - 3rd floor RC",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025036",
            "country_code": "US",
            "telephone_number": "319-369-7952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KAROL",
        "middle_name": "L.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.