Active NPI
Karol L. White, LISW
- Clinical Social Worker
- Cedar Rapids, IA
National Provider Identifier
1578833257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007106
- 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, 2021
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 007106 | IA | MD | Clinical 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.