Individual provider Active NPI

Mary Rebecca White, MSW

  • School Social Worker
  • Warrenton, VA
National Provider Identifier
1881470219
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
PROV-0660169 Issued in VA
Practice address
430 E Shirley Ave BLDG B
Warrenton, VA 20186-3725
Phone
(540) 422-7154
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X PROV-0660169 VA Primary

Addresses

Primary practice location

430 E Shirley Ave BLDG B
Warrenton, VA 20186-3725

Mailing address

430 E Shirley Ave BLDG B
Warrenton, VA 20186-3725
Phone (540) 422-7154

Other practice location 1

11138 Marsh Rd
Bealeton, VA 22712-9360
Phone (540) 422-7430

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

LicenseStateTypeSpecialty
PROV-0660169VAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1881470219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E SHIRLEY AVE BLDG B",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863725",
            "telephone_number": "540-422-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E SHIRLEY AVE BLDG B",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863725",
            "telephone_number": "540-422-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11138 Marsh Rd",
            "address_purpose": "LOCATION",
            "city": "Bealeton",
            "state": "VA",
            "postal_code": "227129360",
            "country_code": "US",
            "telephone_number": "540-422-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARY",
        "middle_name": "REBECCA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PROV-0660169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.