Doctor Name: | CHANTAY P WHITE |
NPI Number: | 1184761256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | Q10000842 |
Business Practice Address: | 300 Tuskegee Blvd Dover Afb, DE - 199025300 |
Business Phone Number: | 3026772674 |
Business Fax Number: | |
Mailing Address: | 438 Lorraine Dr, FREDERICA |
State: | DE |
Postal Code: | 199462920 |
Phone Number: | 2535768514 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | Q10000842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |