Active NPIIndividual providerSole proprietor

Ms. Fay White, MED, LADC 1

Counselor, Addiction (Substance Use Disorder) in Dorchester, Massachusetts

NPI Number1568792935
Practice location
58 Esmond St, Dorchester, MA 02121-4006
Fax
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Last updated
August 26, 2025

Fay White is a Counselor, Addiction (Substance Use Disorder) based in Dorchester, MA. Fay White practices in Dorchester, MA and has the professional credentials of MED, LADC 1. The NPI Number for Fay White is 1568792935 and holds a License No. 18180 (MA). The current practice location address for Fay White is 58 Esmond St, Dorchester, MA 02121-4006 and can be reached out via phone at 617-822-5133.

Provider Profile Details

NPI Number
1568792935
Provider Name
Fay White
Credential
MED, LADC 1
Provider Entity Type
Individual
Gender
Female
Address
58 Esmond St, Dorchester, MA 02121-4006
Phone Number
617-822-5133
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
January 7, 2010
Last Update Date
August 26, 2025
Certification Date
August 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Esmond St
Dorchester, MA 02121-4006
Zip
02121-4006
Phone Number
617-822-5133
Dorchester, MA 02121Get directions →

Provider Business Mailing Address Details

Address
58 Esmond St
Dorchester, MA 02121-4006
City
Dorchester
State
MA
Zip
02121-4006
Phone Number
617-822-5133

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
18180
License State (2)
MA
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Ms. Fay White, MED, LADC 1?

The NPI number of Ms. Fay White, MED, LADC 1 is 1568792935. It was assigned on January 7, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Fay White, MED, LADC 1?

Ms. Fay White, MED, LADC 1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 18180.

Where does Ms. Fay White, MED, LADC 1 practice?

The practice location is 58 Esmond St, Dorchester, MA 02121-4006. The office can be reached at 617-822-5133 (phone).

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 1568792935 directly on the NPPES registry website.

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