Miquetta L White, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9713 Issued in KS

Practice address

555 N Woodlawn St
102
Wichita, KS 67208-3646

Phone

(316) 652-2590

Fax

(316) 652-2595

NPI assigned

Aug 18, 2015

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

Not listed in the public Medicare enrollment file

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.

• Mental Health America of South Central Kansas, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1689710568
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1295101954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083646",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083646",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MIQUETTA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah White
• Katherine Corine White
• Kealan Brynn White, APRN-CNP
• Maxwell Eugene White
• Meghan White, PHARMD
• Natalie Mae White, PA-C
• Pamala White, LSCSW
• Paul E. White, PH.D.
• Stacy White, LAC
• Sydney White

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.