Individual provider · Type 1 NPI

Kenneth Ray White, PhD

Clinical Social Worker · Port St. Lucie, FL

NPI number 1801133657 Active

Practice location

512 SW Port St Lucie Blvd
Port St. Lucie, FL 34953-1943

Call (772) 873-8811 Map

Fax (772) 873-8800

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 1801133657

Kenneth Ray White, PhD's National Provider Identifier is 1801133657, issued on Jan 14, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 14, 2013.