Provider Demographics
NPI:1386193423
Name:WHITE, NEKIA (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:NEKIA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 BROOKS DR
Mailing Address - Street 2:APT 610
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1066
Mailing Address - Country:US
Mailing Address - Phone:202-354-1120
Mailing Address - Fax:202-478-0606
Practice Address - Street 1:40 PATTERSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3334
Practice Address - Country:US
Practice Address - Phone:202-354-1120
Practice Address - Fax:202-478-0606
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500801961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical