Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Johnny White, LCSW

Individual provider Clinical Social Worker · NPI 1306149497

Mr. Johnny White, LCSW is a Clinical Social Worker in South Holland, Illinois. Qualified in 1993, 33 years ago. Practices with Sondermind PC, a 63-clinician group. Licensed in Illinois.

Years since qualifying
33
Licensed in
IL
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

15663 Kimbark Ave
South Holland, IL 60473-1826
Phone: (630) 747-4498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14900674 (IL)

Record details

NPI number1306149497
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 10, 2010
Last updated in NPPESDecember 10, 2010
Mailing address15663 Kimbark Ave, South Holland, IL 60473-1826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Sondermind Pc — 63 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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