Basic Information
| Provider Information | |||||||||
| NPI: | 1386193423 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITE | ||||||||
| FirstName: | NEKIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2130 BROOKS DR | ||||||||
| Address2: | APT 610 | ||||||||
| City: | DISTRICT HEIGHTS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207471066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2023541120 | ||||||||
| FaxNumber: | 2024780606 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 PATTERSON ST NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200023334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2023541120 | ||||||||
| FaxNumber: | 2024780606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2016 | ||||||||
| LastUpdateDate: | 09/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LC50080196 | DC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.