Kerry C White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008885 Issued in GA

Practice address

1824 Ridge Ave N
Tifton, GA 31794-3441

Phone

(229) 391-6080

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• R I a Counseling Services LLC

  • Clinical Social Worker
  • Tifton, GA
  • NPI 1629845631
  NPD Authorized official
• Albany Area Community SVC. Board

  • Public Health or Welfare Agency
  • Albany, GA
  • NPI 1063464212
  NPD

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1417691387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 46TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941553",
            "telephone_number": "229-472-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 RIDGE AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943441",
            "telephone_number": "229-391-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 46th St E",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317941553",
            "country_code": "US",
            "telephone_number": "229-472-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KERRY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Webster, M.D.
• Wesley W Walker MD LLC
• Mark Raymond Westra, PT
• Arita Wheeler
• Joshua Alexander White III, LCSW
• Emily Dillard Whitley
• Wholistic Therapeutic Services
• Megan R Wilgus, D.M.D.
• William C Byrd Inc
• William C Byrd Inc

• Clinical Social Worker in Tifton, GA
• Providers in Tifton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.