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NPI Code Detail

MEDICARE: COURTNEY WHITE LCSW

MEDICARE: COURTNEY WHITE LCSW
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
1104100000XSocial Worker
21041C0700XClinical Social WorkerLCSW25955CA

General Provider Information

NPI Number : 1578502316
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY WHITE LCSW
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1353
Country : US
Telephone Number : 323-334-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2116 ARLINGTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1353
Country : US
Telephone Number : 323-334-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/24/2025

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Directions to “ COURTNEY WHITE LCSW” Practice Location

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