Staci Cook-White, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05390800 Issued in NJ

Practice address

2630 E Chestnut Ave
Vineland, NJ 08361-8400

Phone

(856) 696-5690

Fax

(856) 696-4799

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1043543119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HOLDING RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025690",
            "telephone_number": "856-696-5690",
            "fax_number": "856-696-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618400",
            "telephone_number": "856-696-5690",
            "fax_number": "856-696-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-WHITE",
        "first_name": "STACI",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05390800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Connelly
• Kaitlin Connelly, PA-C
• Theodore Alexander Conover, MD
• Deirdre M Conroy, APN
• Lady Renee Bassig Consolacion
• Don S Cooper, DC
• Niti D Cooper, DO
• Rhea A Cooper, FNP-C
• Miesha Copeland
• Andrew Thomas Coppa

• Clinical Social Worker in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.