Individual provider Active NPI

Christine Elaine White, LCSW

  • Clinical Social Worker
  • Merritt Island, FL
National Provider Identifier
1255912838
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18318 Issued in FL
Practice address
872 Killarney CT
Merritt Island, FL 32953-8065
Phone
(132) 179-5275
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18318 FL Primary
Mental Health Counselor 101YM0800X SW18318 FL

Addresses

Primary practice location

872 Killarney CT
Merritt Island, FL 32953-8065

Mailing address

872 Killarney CT
Merritt Island, FL 32953-8065
Phone (321) 795-2752

Other practice location 1

317 River Edge Blvd Ste 104
Cocoa, FL 32922-7985
Phone (321) 795-2752

Other practice location 2

13350 W Colonial Dr
Winter Garden, FL 34787-3964
Phone (407) 654-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220721000808 FL Practitioner - Clinical Social Worker 7113308230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Resource Services, Inc.Group PAC ID 3779884093, 30 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3977
Phone (407) 654-4433

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18318FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Island Equanimity LLC Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 20, 2022 Accepting new patients
Counseling Resource Services, Inc. CurrentSince Oct 14, 2022 Accepting new patients

Locations

317 River Edge Blvd
Ste 104
Cocoa, FL 32922
Phone (321) 328-5674

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1255912838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 KILLARNEY CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538065",
            "telephone_number": "321-795-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 KILLARNEY CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538065",
            "telephone_number": "132-179-5275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 River Edge Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329227985",
            "country_code": "US",
            "telephone_number": "321-795-2752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13350 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347873964",
            "country_code": "US",
            "telephone_number": "407-654-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTINE",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18318",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW18318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.