Individual
MAXWELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1340 CENTRE ST STE 209, NEWTON, MA 02459-2453
(781) 449-4500
Mailing address
1340 CENTRE ST STE 209, NEWTON, MA 02459-2453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LICSW1143344
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1143344
MA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
06/04/2026
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