Provider Demographics
NPI:1477707826
Name:WHITE, TARSHA D (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TARSHA
Middle Name:D
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TARSHA
Other - Middle Name:JEWARRENE
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1414 FAIRCHILD ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807-4913
Mailing Address - Country:US
Mailing Address - Phone:225-774-1120
Mailing Address - Fax:225-774-1160
Practice Address - Street 1:1414 FAIRCHILD ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-4913
Practice Address - Country:US
Practice Address - Phone:225-774-1120
Practice Address - Fax:225-774-1160
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA65171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical