MEDICARE: ZOEY MARIE WHITE LSCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	12672	KS
2	1041C0700X	Clinical Social Worker	06818	KS
3	104100000X	Social Worker	2022033785	MO

General Provider Information

NPI Number	:	1316662935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOEY MARIE WHITE LSCSW

Provider Business Mailing Address
First Line	:	9329 BLUEJACKET ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66214-1814
Country	:	US
Telephone Number	:	913-952-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	6331 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1509
Country	:	US
Telephone Number	:	913-696-1911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	01/13/2026

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