Individual provider · Type 1 NPI

Kourtney Marie White

Clinical Social Worker · San Diego, CA

NPI number 1265000665 Active

Practice location

PO Box 710145
San Diego, CA 92171-0145

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	ASW101199 (CA)
Clinical Social Worker Primary	1041C0700X	LCSW129384 (CA)
Clinical Social Worker	1041C0700X	ASW101199 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1265000665

Kourtney Marie White's National Provider Identifier is 1265000665, issued on Jun 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 5, 2026.