Christopher Jared White, LMSW
Individual provider Active NPI Social Worker · Pocatello, ID
NPI 1992258149 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1992258149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LMSW-35850 (ID)
- Practice address
- 300 N 7TH Ave
Pocatello, ID 83201 - Phone
- (208) 904-1950
- Fax
- (208) 904-1953
- NPI assigned
- Jul 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-35850 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Hope, LLC | Past | Accepting new patients | |
| A New Hope, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-35850 | ID | Yes |
Addresses
Primary practice location
300 N 7TH Ave
Pocatello, ID 83201
Mailing address
19B Mountain Dr
Pocatello, ID 83204-4724
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.