Active NPI
Mia S White, LCSW
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1790053304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6516
- Practice address
- 3604 Canal St
New Orleans, LA 70119-6111 - Phone
- (504) 822-4333
- Fax
- (504) 822-4339
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6516 | LA | |
| Case Manager/Care Coordinator | 171M00000X | 6516 | LA | |
| Clinical Social Worker | 1041C0700X | 6516 | LA | Primary |
| Social Worker | 104100000X | LA | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
3604 Canal St
New Orleans, LA 70119-6111
Mailing address
3604 Canal St
New Orleans, LA 70119-6111
Other practice location 1
10001 Lake Forest Blvd Ste 906
New Orleans, LA 70127-6200
Phone (504) 827-1083
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 |
|---|---|---|---|
| 6516 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1790053304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196111",
"telephone_number": "504-822-4333",
"fax_number": "504-822-4339"
}
],
"practiceLocations": [
{
"address_1": "10001 Lake Forest Blvd Ste 906",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701276200",
"country_code": "US",
"telephone_number": "504-827-1083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "MIA",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "6516",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "6516",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "6516",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.