Active NPI
Laura A White, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1922545987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW8891
- Practice address
- 3633 Camino del Rio S
Suite 102
San Diego, CA 92108-4011 - Phone
- (619) 200-6586
- NPI assigned
- Jan 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW8891 | CA | Primary |
Addresses
Primary practice location
3633 Camino del Rio S
Suite 102
San Diego, CA 92108-4011
Mailing address
PO Box 19202
San Diego, CA 92159-0202
Phone (619) 200-6586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191007003225 | CA | Practitioner - Clinical Social Worker | 7911238803 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
San Diego, CA 92119
Phone (858) 481-8827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW8891 | CA | MD | Clinical Social Worker |
| 8891 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1922545987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921590202",
"telephone_number": "619-200-6586",
"fax_number": "619-938-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 CAMINO DEL RIO S",
"address_2": "SUITE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084011",
"telephone_number": "619-200-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LAURA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW8891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.