Jonathan David White, LCSW-C
Individual provider Active NPI Clinical Social Worker · College Park, MD
NPI 1093531980 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1093531980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13894 (MD)
- Practice address
- 9513 51St Ave
College Park, MD 20740-4512 - Phone
- (202) 297-3162
- NPI assigned
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13894 | MD | MD | Psychiatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13894 | MD | Yes |
Addresses
Primary practice location
9513 51St Ave
College Park, MD 20740-4512
Mailing address
9513 51St Ave
College Park, MD 20740-4512
Phone (202) 297-3162
Other providers in College Park, MD
- Bradley Weitzel
- Wellnes Healthcare Marketing Inc
- Wellspring Therapy Services
- Jessica Moore Wertz
- White Lotus Wellness Center, LLC
- Patricia A. Whittles
- Kathleen Faith Wiersema
- Emmanuel M Williams
- Johnny Emmanuel Williams
- Karl S Williams Jr.
All providers in College Park, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.