Provider Demographics
NPI:1417003682
Name:WHITE, JOHN V (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:WHITE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 HENDERSONVILLE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1936
Mailing Address - Country:US
Mailing Address - Phone:828-274-5757
Mailing Address - Fax:828-274-4316
Practice Address - Street 1:1270 HENDERSONVILLE RD STE 8
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1936
Practice Address - Country:US
Practice Address - Phone:828-274-5757
Practice Address - Fax:828-274-4316
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO14701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical