Mary White, MSW-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5672 Issued in ME

Practice address

92 Bennett Dr
Caribou, ME 04736-1952

Phone

(207) 493-5210

Fax

(207) 493-5209

NPI assigned

Aug 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Your Journey, LLC

  • Community/Behavioral Health Agency
  • Caribou, ME
  • NPI 1659723088
  Medicare reassignment NPD Authorized official
• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Clinical

  NPD (past)
• Caribou Eyecare, P.a.

  • Optometrist
  • Caribou, ME
  • NPI 1356470645
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1245345065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BENNETT DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361952",
            "telephone_number": "207-493-5210",
            "fax_number": "207-493-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BENNETT DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361952",
            "telephone_number": "207-493-5210",
            "fax_number": "207-493-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARY",
        "credential": "MSW-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248890099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc
• Brian Wall, M.D.
• Alan Norman Weissman
• Emily Jean Weissman, PHARMD
• Mitchell Vaughn Wheeler, PTA
• Albert Sidney Whiting Jr., M.D.
• Jean S. Wight, LCSW
• Ashley Willey
• Mariah Williams
• Ronda L. Williams, SA COUNSELOR - LADC

• Clinical Social Worker in Caribou, ME
• Providers in Caribou, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.