Active NPI
Dan White, MSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1932291671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4508410
- Practice address
- 150 Debra Lane
Suite 5200,BLDG 6300;Eastgate Ctr.
Chattanooga, TN 37411 - Phone
- (423) 893-6500
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- 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 | 4508410 | TN | Primary |
Addresses
Primary practice location
150 Debra Lane
Suite 5200,BLDG 6300;Eastgate Ctr.
Chattanooga, TN 37411
Mailing address
950 Spring Creek Rd
Apt 154
Chattanooga, TN 37412
Phone (423) 364-6635
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 |
|---|---|---|---|
| 4508410 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932291671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 SPRING CREEK RD",
"address_2": "APT 154",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37412",
"telephone_number": "423-364-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DEBRA LANE",
"address_2": "SUITE 5200,BLDG 6300;EASTGATE CTR.",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37411",
"telephone_number": "423-893-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DAN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4508410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.