Jessica White, LCSW

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

404 N Fir Ave Ste B
Collins, MS 39428-4201

Phone

(601) 517-5041

Fax

(601) 765-3247

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Renay White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reliance Home & Community Care, LLC

  • In Home Supportive Care Agency
  • Collins, MS
  • NPI 1518675206
  NPD Authorized official

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1043600059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1781",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394281781",
            "telephone_number": "601-765-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N FIR AVE STE B",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394284201",
            "telephone_number": "601-517-5041",
            "fax_number": "601-765-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5996",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITE",
            "middle_name": "RENAY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lacie Speed
• Felicia Taylor, LPNII
• Sharon Thompson, PCIDDT
• Brook Thornton, CMHT
• Jimmy Allen Walker, O.D.
• Laura Leigh White
• Marie Lynn White, THERAPIST
• Stephen Caleb Williamson, PHARM.D.
• Ramsey Earl Wilson, D.M.D
• Terrie S Wilson, FNP-C

• In Home Supportive Care Agency in Collins, MS
• Providers in Collins, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.