Kathelene Marie White, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000012084 Issued in TN

Practice address

109 E Lafayette St
Jackson, TN 38301-7971

Phone

(901) 930-7397

NPI assigned

Aug 6, 2022

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive West TennesseeGroup PAC ID 8426414426, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thrive West Tennessee

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1790472397
  Medicare reassignment Care Compare group
• You Can Sit With US

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1881582641

  Clinical

  NPD (past)

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1063149250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 VANDEN ST APT 106",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015690",
            "telephone_number": "731-697-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LAFAYETTE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017971",
            "telephone_number": "901-930-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHELENE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000012084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey White, DNP, CRNA
• Charles Wesley White Jr., M.D.
• Cherish Deann White, RN
• Christy White, MSN, APRN, FNP-C
• Heather Lynn White, SLP
• Nina L White, A.P.R.N.
• Sara C White, LCSW
• William (Ned) Edward White Jr., D.C.
• Zada K White, A.P.R.N.
• Anthony Craig Whitt, PTA

• Clinical Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.