| Mr William Roger White, LCSW | |
|
712 E Empire St, Bloomington, IL 61701-3252 | |
| (309) 287-9464 | |
| (309) 827-7576 |
| Full Name | Mr William Roger White |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 36 Years |
| Location | 712 E Empire St, Bloomington, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356521280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149004861 (Illinois) | Primary |
| Entity Name | William R White Counseling & Psychotherapy Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447559356 PECOS PAC ID: 3072896562 Enrollment ID: O20170207002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Roger White, LCSW 712 E Empire St, Bloomington, IL 61701-3252 Ph: (309) 287-9464 | Mr William Roger White, LCSW 712 E Empire St, Bloomington, IL 61701-3252 Ph: (309) 287-9464 |
Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Sara Fidlow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 | |
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574 | |
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841 | |
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077 | |
Beth Anne Vogel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Degarmo Dr, Bloomington, IL 61704 Phone: 309-310-6465 | |
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453 |