Active NPI
David Samuel White, MSW, LCSW
- Clinical Social Worker
- Quincy, MA
National Provider Identifier
1730806167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 227079
- Practice address
- 1261 Furnace Brook Pkwy Ste 2230
Quincy, MA 02169-4721 - Phone
- (617) 479-4545
- NPI assigned
- Oct 26, 2022
- 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 | 227079 | MA | Primary |
Addresses
Primary practice location
1261 Furnace Brook Pkwy Ste 2230
Quincy, MA 02169-4721
Mailing address
30 Holden St
Cambridge, MA 02138-2069
Phone (857) 949-6014
Other practice location 1
220 Reservoir St
Needham, MA 02494-3149
Phone (781) 429-7755
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 |
|---|---|---|---|
| 227079 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1730806167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HOLDEN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382069",
"telephone_number": "857-949-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 FURNACE BROOK PKWY STE 2230",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694721",
"telephone_number": "617-479-4545"
}
],
"practiceLocations": [
{
"address_1": "220 Reservoir St",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024943149",
"country_code": "US",
"telephone_number": "781-429-7755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "227079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.