Active NPI
William J White, LCPC
- Clinical Social Worker
- Galena, IL
National Provider Identifier
1588085971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 180009383
- Practice address
- 300 Summit St
Galena, IL 61036-1638 - Phone
- (815) 777-2836
- NPI assigned
- Jan 2, 2014
- Sex
- Male
- 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 | 180009383 | IL | Primary |
Addresses
Primary practice location
300 Summit St
Galena, IL 61036-1638
Mailing address
113 Nottingham Chase
Normal, IL 61761-2880
Phone (309) 212-4425
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 |
|---|---|---|---|
| 180009383 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1588085971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 NOTTINGHAM CHASE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612880",
"telephone_number": "309-212-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUMMIT ST",
"city": "GALENA",
"state": "IL",
"postal_code": "610361638",
"telephone_number": "815-777-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "180009383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.