Provider Demographics
NPI:1306718119
Name:WHITE, JORDAN JENRETTE (DRPH, MSSW, LMSW)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:JENRETTE
Last Name:WHITE
Suffix:
Gender:M
Credentials:DRPH, MSSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 GEORGIA AVE STE 203W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5020
Mailing Address - Country:US
Mailing Address - Phone:240-865-3135
Mailing Address - Fax:240-531-2915
Practice Address - Street 1:10301 GEORGIA AVE STE 203W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5020
Practice Address - Country:US
Practice Address - Phone:240-865-3135
Practice Address - Fax:240-531-2915
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD337421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical