Healthcare Provider Details
I. General information
NPI: 1215874326
Provider Name (Legal Business Name): MELIA WHITE LSW, CCHW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1112 S MILL ST
NEW CASTLE PA
16101-4629
US
IV. Provider business mailing address
63 PITT STREET PO BOX 716
SHARON PA
16146-2102
US
V. Phone/Fax
- Phone: 724-658-4564
- Fax: 724-657-8563
- Phone: 724-658-4564
- Fax: 724-657-8563
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: