Mr Johnny White, LCSW in South Holland, IL - Medicare Clinical Social Worker Provider

Mr Johnny White, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Holland, Illinois. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Christian Community Health Center and his current practice location is 15663 Kimbark Ave, South Holland, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 747-4498.

Mr Johnny White is licensed to practice in Illinois (license number 14900674) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306149497.

Contact Information

	Mr Johnny White, LCSW
	15663 Kimbark Ave, South Holland, IL 60473-1826
	(630) 747-4498
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Johnny White
Gender	Male
Speciality	Clinical Social Worker
Experience	33 Years
Location	15663 Kimbark Ave, South Holland, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Johnny White graduated from medical school in 1993

NPI Data:

NPI Number: 1306149497
Provider Enumeration Date: 12/10/2010
Last Update Date: 12/10/2010

Medicare PECOS Information:

PECOS PAC ID: 9830186360
Enrollment ID: I20040427001556

Medical Identifiers

Medical identifiers for Mr Johnny White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306149497	NPI	-	NPPES
14900674	Other	IL	LICENSED CLINICAL SOCIAL WORKER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	14900674 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christian Community Health Center	4284533183	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Johnny White allows following entities to bill medicare on his behalf.

Entity Name	Christian Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790888238 PECOS PAC ID: 4284533183 Enrollment ID: O20040108000515

Entity Name	Lifecore Rehab And Counseling Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679819734 PECOS PAC ID: 6800037771 Enrollment ID: O20130719000307

Entity Name	Sondermind Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003646977 PECOS PAC ID: 0547795791 Enrollment ID: O20241125001063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Johnny White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Johnny White, LCSW 15663 Kimbark Ave, South Holland, IL 60473-1826 Ph: (630) 747-4498	Mr Johnny White, LCSW 15663 Kimbark Ave, South Holland, IL 60473-1826 Ph: (630) 747-4498

Reviews and Comments

Social Worker in South Holland, IL

Myra D Staples, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 East 167th Street, South Holland, IL 60473 Phone: 708-385-4258
Pamela D Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 E 158th St, South Holland, IL 60473 Phone: 708-979-0418
Breshonti Galloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17230 Kenwood Ave, South Holland, IL 60473 Phone: 708-990-5575
Lakisha Mitchell, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 17148 Evans Dr, South Holland, IL 60473 Phone: 708-515-8366
Betsy Colvin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16057 Dobson Avenue, South Holland, IL 60473 Phone: 708-638-9648
Mr. Thomas C Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16284 Prince Dr, South Holland, IL 60473 Phone: 708-333-4357 Fax: 708-331-8670

Mr Johnny White, LCSW - Medicare Clinical Social Worker in South Holland, IL