Provider Demographics
NPI:1508005257
Name:WHITE, RODNEY OLANDIS (LMSW)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:OLANDIS
Last Name:WHITE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 LAKESHORE PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-4291
Mailing Address - Country:US
Mailing Address - Phone:803-329-1915
Mailing Address - Fax:803-329-1918
Practice Address - Street 1:452 LAKESHORE PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-4291
Practice Address - Country:US
Practice Address - Phone:803-329-1915
Practice Address - Fax:803-329-1918
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8653104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker