Individual provider Active NPI

Denise Ann-Marie White, LMSW

  • Social Worker
  • Auburn, GA
National Provider Identifier
1649706169
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW007812 Issued in GA
Practice address
1963 Tulip Petal Rd
Auburn, GA 30011-2160
Phone
(845) 541-2439
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW007812 GA Primary
Community/Behavioral Health Agency 251S00000X MSW007812 GA
Prevention Professional 405300000X MSW007812 GA

Addresses

Primary practice location

1963 Tulip Petal Rd
Auburn, GA 30011-2160

Mailing address

1963 Tulip Petal Rd
Auburn, GA 30011-2160
Phone (845) 541-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW007812GAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Well Restoration Therapies Community/Behavioral Health CurrentSince Dec 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1649706169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 TULIP PETAL RD",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112160",
            "telephone_number": "845-541-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 TULIP PETAL RD",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112160",
            "telephone_number": "845-541-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DENISE",
        "middle_name": "ANN-MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007812",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MSW007812",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "GA",
            "license": "MSW007812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.