Active NPI
Kimberly B. White
- School Social Worker
- Bastrop, LA
National Provider Identifier
1841062791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 5159
- Practice address
- 1607 Martin L King St S
Bastrop, LA 71220-5443 - Phone
- (318) 283-1600
- Fax
- (318) 281-4910
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 5159 | LA | Primary |
Addresses
Primary practice location
1607 Martin L King St S
Bastrop, LA 71220-5443
Mailing address
1607 Martin L King St S
Bastrop, LA 71220-5443
Phone (318) 283-1600
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 |
|---|---|---|---|
| 5159 | LA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1841062791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 MARTIN L KING ST S",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205443",
"telephone_number": "318-283-1600",
"fax_number": "318-281-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 MARTIN L KING ST S",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205443",
"telephone_number": "318-283-1600",
"fax_number": "318-281-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLY",
"middle_name": "B.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "LA",
"license": "5159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.