Jessica Rae White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65205 Issued in TX

Practice address

4501 S 2ND St
Austin, TX 78745-1950

Phone

(770) 374-9161

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

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

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.

• Jessie White Psychotherapy PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1376208405
  NPD Authorized official

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1154948495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S 2ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451950",
            "telephone_number": "770-374-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S 2ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451950",
            "telephone_number": "770-374-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared James White, RD LD CNSC
• Jennifer White, FNP
• Jenny Marie White, LMSW
• Jessica White, RDN
• Jessica White, MSN, APRN, CPNP
• Joseph Dale White, PH.D.
• Julia Carol White, LCSW
• Kathryn White, MA, LPC
• Kathryn White
• Kayla Marie White

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.