Imani White

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017327 Issued in NC

Practice address

1011 Pemberton Hill Rd Ste 202
Apex, NC 27502-4266

Phone

(919) 627-8599

NPI assigned

Aug 6, 2020

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Secure Mind Therapy PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1073381083
  NPD Authorized official
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1336458934

  Case Manager/Care Coordinator

  NPD (past)
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1710132691

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1750991576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 LANDMARK DR APT 330",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072806",
            "telephone_number": "919-627-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD STE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "919-627-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5003 Southpark Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139414",
            "country_code": "US",
            "telephone_number": "919-627-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 E Imperial Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622663",
            "country_code": "US",
            "telephone_number": "323-769-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "IMANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-05-30",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102494",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P017327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017327",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie West
• Western Wake Treatment Center
• Megan Whelton, OTR
• Cassie A White I, DDS
• Haley Brooke White
• Alexander Whitehurst, PA-C
• Wholehearted Nutrition & Wellness LLC
• Alissa Wigdor, PH.D.
• Esther Barahona Wilkes, MS, CCC-SLP
• D'Nise Williams-Braswell, LCSWA

• Clinical Social Worker in Apex, NC
• Providers in Apex, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.