Active NPI
Jennifer Abra White, LCSW-R
- Clinical Social Worker
- New Paltz, NY
National Provider Identifier
1689091886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73-071588
- Practice address
- 2 Shawangunk VW Dr
New Paltz, NY 12561-2729 - Phone
- (845) 475-7556
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73-071588 | NY | Primary |
Addresses
Primary practice location
2 Shawangunk VW Dr
New Paltz, NY 12561-2729
Mailing address
2 Shawangunk VW Dr
New Paltz, NY 12561-2729
Phone (845) 475-7556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 21, 2025 through Jul 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73-071588 | NY | MD | Clinical Social Worker |
| 071588 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1689091886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SHAWANGUNK VW DR",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612729",
"telephone_number": "845-475-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHAWANGUNK VW DR",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612729",
"telephone_number": "845-475-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JENNIFER",
"middle_name": "ABRA",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73-071588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.