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General NPI Number Information
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NPI Number | 1942706866
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Entity Type | Individual
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Provider Name | STEPHAN DARREL WHITE LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2686 MURWORTH DR
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City | HOUSTON
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State | TX
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Zip | 77054-1619
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Country | US
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Telephone | 832-452-1993
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Fax | 832-253-1178
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Provider Business Mailing Address
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Address Line | 2686 MURWORTH DR , SUITE 506 STE. 506
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City | HOUSTON
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State | TX
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Zip | 77054-1610
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Country | US
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Telephone | 832-452-1993
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Fax | 832-253-1178
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 56886
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 56886
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License Number State | TX
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