Individual
JESSICA WHITE
Active
Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW,LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
AP00944679
WV
104100000X
Social Worker
I.2102687
OH
1041C0700X
Clinical Social Worker
DP00944679
WV
1041C0700X
Clinical Social Worker
Primary
I.2102687
OH
Other
Enumeration date
07/08/2015
Last updated
08/31/2026
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