NPI 1063149250

Kathelene Marie White, LMSW

Practitioner Clinical Social Worker Jackson, TN

Practice location

Address: 109 E Lafayette St, Jackson, TN 38301-7971
Phone: (901) 930-7397
Mailing address: 116 Vanden St APT 106, Jackson, TN 38301-5690

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LSW0000012084 (TN)

Other Social Worker providers in Tennessee →

Registry record

NPI: 1063149250
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2022
Record last updated: 6 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.