Healthcare Provider Details

I. General information

NPI: 1801248166
Provider Name (Legal Business Name): EMILY WHITE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 FIELDBROOK LN
MAGNOLIA DE
19962-1487
US

IV. Provider business mailing address

154 FIELDBROOK LN
MAGNOLIA DE
19962-1487
US

V. Phone/Fax

Practice location:
  • Phone: 973-668-3463
  • Fax:
Mailing address:
  • Phone: 973-668-3463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001626
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: