Active NPI
Sanford Dale White, LCSW, PHD
- Clinical Social Worker
- Augusta, GA
National Provider Identifier
1952871006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW000867
- Practice address
- 127 Telfair St
Augusta, GA 30901-2590 - Phone
- (706) 414-6278
- NPI assigned
- Dec 3, 2018
- 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 | CSW000867 | GA | Primary |
Addresses
Primary practice location
127 Telfair St
Augusta, GA 30901-2590
Mailing address
127 Telfair St
Augusta, GA 30901-2590
Phone (706) 922-0600
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW000867 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1952871006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 TELFAIR ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012590",
"telephone_number": "706-922-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 TELFAIR ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012590",
"telephone_number": "706-414-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SANFORD",
"middle_name": "DALE",
"credential": "LCSW, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW000867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.