Provider Demographics
NPI:1326371550
Name:WHITE, ELIZABETH G (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:G
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N UNIVERSITY AVE STE 416
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5233
Mailing Address - Country:US
Mailing Address - Phone:501-777-5532
Mailing Address - Fax:501-214-6870
Practice Address - Street 1:1501 N UNIVERSITY AVE STE 416
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207
Practice Address - Country:US
Practice Address - Phone:501-777-5532
Practice Address - Fax:501-214-6870
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6156-C1041C0700X
AR2344-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical