Active NPIIndividual providerSole proprietor

Ta-Vongala S White, MSW, LCSW

Social Worker, Clinical in Martinsville, New Jersey

NPI Number1174801062
Practice location
1812 Woodfield RD, Martinsville, NJ 08836-2342
Fax
973-763-8243
Last updated
July 15, 2024

Ta-Vongala S. White is a Social Worker, Clinical based in Martinsville, NJ. Ta-Vongala S. White practices in Martinsville, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Ta-Vongala S. White is 1174801062 and holds a License No. 44SC05414200 (NJ). The current practice location address for Ta-Vongala S. White is 1812 Woodfield RD, Martinsville, NJ 08836-2342 and can be reached out via phone at 973-518-1097 and via fax at 973-763-8243.

Provider Profile Details

NPI Number
1174801062
Provider Name
Ta-Vongala S. White
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
1812 Woodfield RD, Martinsville, NJ 08836-2342
Phone Number
973-518-1097
Fax Number
973-763-8243
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2011
Last Update Date
July 15, 2024
Certification Date
July 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1812 Woodfield RD
Martinsville, NJ 08836-2342
Zip
08836-2342
Phone Number
973-518-1097
Fax Number
973-763-8243
Martinsville, NJ 08836Get directions →

Provider Business Mailing Address Details

Address
1812 Woodfield RD
Martinsville, NJ 08836-2342
City
Martinsville
State
NJ
Zip
08836-2342
Phone Number
973-518-1097
Fax Number
973-763-8243

License Information

License Number (1)
44SC05414200
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05414200
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ta-Vongala S White, MSW, LCSW?

The NPI number of Ta-Vongala S White, MSW, LCSW is 1174801062. It was assigned on July 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Ta-Vongala S White, MSW, LCSW?

Ta-Vongala S White, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05414200.

Where does Ta-Vongala S White, MSW, LCSW practice?

The practice location is 1812 Woodfield RD, Martinsville, NJ 08836-2342. The office can be reached at 973-518-1097 (phone) or 973-763-8243 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174801062 directly on the NPPES registry website.

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