Stephanie Ann White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011041571 Issued in MO

Practice address

5950 N Oak Trfy
Ste 104
Gladstone, MO 64118-5166

Phone

(816) 455-7223

Fax

(816) 455-7224

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meditelecare of Virginia, LLC

  • Clinical Psychologist
  • Glen Allen, VA
  • NPI 1851890321
  Medicare reassignment NPD
• Atlantic Psychiatric Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1063514925
  NPD (past)
• W. Schaffer & Associates

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1528067576
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1952364267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY",
            "address_2": "STE 104",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185166",
            "telephone_number": "816-455-7223",
            "fax_number": "816-455-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY",
            "address_2": "STE 104",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185166",
            "telephone_number": "816-455-7223",
            "fax_number": "816-455-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "09047005918",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011041571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010227780",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "186803",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO BCBS",
            "identifier": "186803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Walker, PHARMD
• Gerald E Walton, D.D.S.
• Daniel C Wenzel
• Jamie Werner, FNP
• WH Ar Dental PLLC
• Julie Mary Williams, LMSW
• Rachel Lee Willoughby Greene, MS, LPC, LCPC
• Andrea Gibbs Wilson, LPC
• Alexandra Witt
• Woodbine Healthcare LLC

• Clinical Social Worker in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.