Provider Demographics
NPI:1528004280
Name:WHITE, DEENA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:DEENA
Other - Middle Name:
Other - Last Name:NERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1610 WOODSTEAD CT
Mailing Address - Street 2:SUITE 420
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3413
Mailing Address - Country:US
Mailing Address - Phone:281-363-4220
Mailing Address - Fax:281-364-9404
Practice Address - Street 1:1610 WOODSTEAD CT
Practice Address - Street 2:SUITE 420
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3413
Practice Address - Country:US
Practice Address - Phone:281-363-4220
Practice Address - Fax:281-364-9404
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical