MR. JOHNNY WHITE (NPI# 1306149497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306149497 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY WHITE |
| Credential | LCSW |
| Practice Address |
15663 Kimbark Ave South Holland IL 60473-1826 |
| Practice Telephone | 6307474498 |
| Mailing Telephone | 6307474498 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14900674 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSED CLINICAL SOCIAL WORKER | 14900674 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834184 | Johnny H White | Marriage & Family Therapist | 1919 John Wesley Ave, College Park, GA 30337-3605 | 2019-01-07 |
| 1588991004 | Johnny White | Social Worker | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2009-11-04 |
| 1336252477 | Johnny Lee White Jr. | Specialist | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2006-08-15 |
| Street Address |
15663 KIMBARK AVE |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619216413 | Melody Jackson | Social Worker | 1263 Prince Dr, South Holland, IL 60473-1128 | 2013-02-14 |
| 1558661108 | Allean S Jones | Social Worker | 15647 Mutual Terrrence Ave, South Holland, IL 60473-1559 | 2010-10-29 |
| 1760653497 | Kimberly Alderson | Social Worker | 717 E 160th St, South Holland, IL 60473-1647 | 2008-03-20 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| 1407997893 | Froncell Childred Kirkling | Social Worker | 17151 South Cornell, South Holland, IL 10473 | 2007-02-09 |
| 1598835431 | First Life Behavioral Health Inc. | Social Worker | 465 W 162nd St, South Holland, IL 60473-2010 | 2006-11-08 |
| 1376512780 | Thomas C Reed | Social Worker | 16284 Prince Dr, South Holland, IL 60473-3233 | 2006-03-16 |
| 1871586214 | Jesse Lee Owens | Social Worker | 15475 S Park Ave Ste 102, South Holland, IL 60473-1378 | 2005-08-30 |
| 1922622711 | Cynthia Saveage-brown | Social Worker | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-06-08 |
| 1821650672 | Asabi S Yakini | Social Worker | 16107 La Salle St, South Holland, IL 60473-2064 | 2019-07-02 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on MR. JOHNNY WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.