Provider Demographics
NPI:1902287592
Name:WHITE, BRITTANY D (LGSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:WHITE
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 COLISTON RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3632
Mailing Address - Country:US
Mailing Address - Phone:443-762-8954
Mailing Address - Fax:
Practice Address - Street 1:8 COLISTON RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3632
Practice Address - Country:US
Practice Address - Phone:443-762-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker