Jessica Lynne White, MSW, LCSW, RYT 200

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014919 Issued in NC

Practice address

214B N Topsail Dr
Surf City, NC 28445-6720

Phone

(703) 477-3782

NPI assigned

Mar 9, 2012

Last updated

Aug 4, 2022By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1316212335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214B N TOPSAIL DR",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456720",
            "telephone_number": "703-477-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214B N TOPSAIL DR",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456720",
            "telephone_number": "703-477-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, RYT 200",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Lesley Watson, PT, DPT, MBA

• Clinical Social Worker in Surf City, NC
• Providers in Surf City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.