Individual provider Active NPI

Allison White, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1891237897
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10374 Issued in OR
Practice address
1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162
Phone
(458) 836-5188
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 74162 CA
Clinical Social Worker 1041C0700X L10374 OR Primary

Addresses

Primary practice location

1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162

Mailing address

1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162
Phone (458) 836-5188

Other practice location 1

22245 Main St
Hayward, CA 94541-4028
Phone (510) 727-9401

Other practice location 2

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

Other practice location 3

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

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
L10374ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Side by Side PastSince May 1, 2024 Accepting new patients
Side by Side PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1891237897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023162",
            "telephone_number": "458-836-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023162",
            "telephone_number": "458-836-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22245 Main St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945414028",
            "country_code": "US",
            "telephone_number": "510-727-9401",
            "fax_number": "510-727-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Coolidge Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023311",
            "country_code": "US",
            "telephone_number": "510-482-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Coolidge Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023311",
            "country_code": "US",
            "telephone_number": "510-482-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.