Active NPI
Tina White, LCSW
- Clinical Social Worker
- Skokie, IL
National Provider Identifier
1912325960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149013963
- Practice address
- 8324 Skokie Blvd
Skokie, IL 60077-2545 - Phone
- (847) 933-0057
- Fax
- (847) 933-0057
- NPI assigned
- Apr 6, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149013963 | IL | Primary |
Addresses
Primary practice location
8324 Skokie Blvd
Skokie, IL 60077-2545
Mailing address
8324 Skokie Blvd
Skokie, IL 60077-2545
Phone (847) 933-0057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 W Taylor St
Chicago, IL 60607-4623
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334
Organizations & group practices 1
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": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396742400000",
"number": "1912325960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8324 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772545",
"telephone_number": "847-933-0057",
"fax_number": "847-933-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8324 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772545",
"telephone_number": "847-933-0057",
"fax_number": "847-933-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-06",
"last_updated": "2014-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149013963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.