Individual provider · Type 1 NPI

Brianna Lesle White

Clinical Social Worker · Jefferson, WI

NPI number 1962050625 Active

Practice location

1541 Annex Rd
Jefferson, WI 53549-9803

Mailing address

609 Van Buren St
Fort Atkinson, WI 53538-1715

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X132143-121 (WI)
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Clinical Social Worker Primary 1041C0700X11118-123 (WI)

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 1962050625

Brianna Lesle White's National Provider Identifier is 1962050625, issued on Aug 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jefferson, WI. The record was last updated on Mar 21, 2023.