Active NPI
Devin Alexander Jordan White, LSW
- Social Worker
- Portsmouth, OH
National Provider Identifier
1023786639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 303 Offnere St
Portsmouth, OH 45662-4655 - Phone
- (740) 715-0094
- Fax
- (740) 529-2126
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OH | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
303 Offnere St
Portsmouth, OH 45662-4655
Mailing address
PO Box 402
Wheelersburg, OH 45694-0402
Phone (740) 858-6683
Other practice location 1
9620 Careys Run Pond Creek Road
McDermott, OH 45652
Phone (740) 858-6683
Other practice location 2
7175 State Route 104
Mc Dermott, OH 45652-8899
Phone (740) 858-6683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465417 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moving Forward Residential LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients | |
| Moving Forward Residential LLC | Past | Accepting new patients | |
| Lighthouse Youth Services Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
- https://api.qualifacts.org/api/fhir/lys/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- MC Dermott, OH
- NPI 1811767684
-
- Addiction (Substance Use Disorder) Counselor
- Bainbridge, OH
- NPI 1053389841
-
- Community/Behavioral Health Agency
- MC Dermott, OH
- NPI 1871016691
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1023786639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456940402",
"telephone_number": "740-858-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 OFFNERE ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624655",
"telephone_number": "740-715-0094",
"fax_number": "740-529-2126"
}
],
"practiceLocations": [
{
"address_1": "9620 CAREYS RUN POND CREEK ROAD",
"address_purpose": "LOCATION",
"city": "MCDERMOTT",
"state": "OH",
"postal_code": "45652",
"country_code": "US",
"telephone_number": "740-858-6683",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7175 State Route 104",
"address_purpose": "LOCATION",
"city": "Mc Dermott",
"state": "OH",
"postal_code": "456528899",
"country_code": "US",
"telephone_number": "740-858-6683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DEVIN",
"middle_name": "ALEXANDER JORDAN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0465417",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.