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

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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 Sondermind Pc, 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for 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 NameMr Johnny White
GenderMale
SpecialityClinical Social Worker
Experience33 Years
Location15663 Kimbark Ave, South Holland, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for 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.
IdentifierTypeStateIssuer
1306149497NPI-NPPES
14900674OtherILLICENSED CLINICAL SOCIAL WORKER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 14900674 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sondermind Pc054779579164
Christian Community Health Center428453318311

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 NameChristian Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790888238
PECOS PAC ID: 4284533183
Enrollment ID: O20040108000515
Entity NameLifecore Rehab and Counseling Services SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679819734
PECOS PAC ID: 6800037771
Enrollment ID: O20130719000307
Entity NameMental Health Specialty Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240911001944
Entity NameSondermind PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003646977
PECOS PAC ID: 0547795791
Enrollment ID: O20241125001063
Entity NameVictory Mental Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629870506
PECOS PAC ID: 2365966702
Enrollment ID: O20250408000889

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 AddressPractice 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


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Myra D Staples, LCSW
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Lakisha Mitchell,
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Betsy Colvin, LCSW
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Mr. Thomas C Reed, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 16284 Prince Dr, South Holland, IL 60473
Phone: 708-333-4357    Fax: 708-331-8670
Ms. Froncell Childred Kirkling, LCSW MPH
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Practice Location: 17151 South Cornell, South Holland, IL 10473
Phone: 708-596-8447    Fax: 708-825-9649

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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