Individual
JAMELL DELAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235571
KAISER
MD
01
—
292407000
MAGELLAN
MD
01
—
530196598
TRICARE
MD
01
—
7203306
AETNA
MD
05
—
901100500
—
MD
01
—
A2840097
BCBS
DC
Enumeration date
08/13/2006
Last updated
11/11/2010
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