Provider Demographics
NPI:1649484718
Name:WHITE, RICHARD ARMANDO (LCSW)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ARMANDO
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 1:5460 LENA RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-9500
Mailing Address - Country:US
Mailing Address - Phone:941-907-0525
Mailing Address - Fax:
Practice Address - Street 1:5460 LENA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34211-9500
Practice Address - Country:US
Practice Address - Phone:941-907-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical