Active NPI
Lloyd Wayne Whyte, MSW LCSW MO LICENSE
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1639224462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MO001674
- Practice address
- 4304 Savannah CT
Ste 101
Columbia, MO 65202-4250 - Phone
- (573) 446-0849
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MO001674 | MO | Primary |
Addresses
Primary practice location
4304 Savannah CT
Ste 101
Columbia, MO 65202-4250
Mailing address
4304 Savannah CT
Columbia, MO 65202-4250
Phone (573) 446-0849
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493238902 | Medicaid | MO | |
| 737320 | Other | MO | WELLCARE/MOCARE |
| 800445 | Other | MO | DEPT OF MENTAL HEALTH |
| 405495 | Other | MO | HEALTH CARE USA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO001674 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1639224462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 SAVANNAH CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652024250",
"telephone_number": "573-446-0849",
"fax_number": "573-446-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 SAVANNAH CT",
"address_2": "STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652024250",
"telephone_number": "573-446-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHYTE",
"first_name": "LLOYD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MSW LCSW MO LICENSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "MO001674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493238902",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE/MOCARE",
"identifier": "737320",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF MENTAL HEALTH",
"identifier": "800445",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE USA",
"identifier": "405495",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.