Provider Demographics
NPI:1164652194
Name:WHITEHOUSE, CELESTE M (LCSW, MSED)
Entity Type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:M
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:LCSW, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 EDGEMOND ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-2859
Mailing Address - Country:US
Mailing Address - Phone:401-595-9391
Mailing Address - Fax:
Practice Address - Street 1:438 E MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7263
Practice Address - Country:US
Practice Address - Phone:401-847-0960
Practice Address - Fax:401-845-9618
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW01229104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker