Individual provider · Type 1 NPI

Crystal White, LCSW-A

Clinical Social Worker · Jacksonville, NC

NPI number 1790554566 Active

Practice location

200 Tarpon Trl
Jacksonville, NC 28546-5287

Call (910) 938-1114 Map

Fax (910) 938-1118

Mailing address

9429 Hwy 41 W
Pink Hill, NC 28572-7021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1790554566

Crystal White, LCSW-A's National Provider Identifier is 1790554566, issued on Dec 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, NC. The record was last updated on Jun 8, 2026.