Provider Demographics
NPI:1376845438
Name:WHITE, ANNA-BRITTA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA-BRITTA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNA-BRITTA
Other - Middle Name:
Other - Last Name:O'SHAUGHNESSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:710 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-2016
Mailing Address - Country:US
Mailing Address - Phone:072-052-8354
Mailing Address - Fax:407-606-6893
Practice Address - Street 1:5575 S SEMORAN BLVD STE 36
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1782
Practice Address - Country:US
Practice Address - Phone:407-205-2835
Practice Address - Fax:407-606-6893
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW182531041C0700X
MELC210811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical