Individual provider · Type 1 NPI

Johnny White, LCSW

Clinical Social Worker · South Holland, IL

NPI number 1306149497 Active

Practice location

15663 Kimbark Ave
South Holland, IL 60473-1826

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14900674 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1306149497

Johnny White, LCSW's National Provider Identifier is 1306149497, issued on Dec 10, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Holland, IL. The record was last updated on Dec 10, 2010.