Nytisha Lashea White, | |
2519 Running Stream Ct, Anderson, IN 46011-4769 | |
(702) 237-8063 | |
Not Available |
Full Name | Nytisha Lashea White |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2519 Running Stream Ct, Anderson, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487617130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5341-C (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | 34005034A (Indiana) | Primary |
Entity Name | Frontier Medical & Behavioral Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639579162 PECOS PAC ID: 4183912017 Enrollment ID: O20161010001585 |
Mailing Address | Practice Location Address |
---|---|
Nytisha Lashea White, 2519 Running Stream Ct, Anderson, IN 46011-4769 Ph: (765) 274-1464 | Nytisha Lashea White, 2519 Running Stream Ct, Anderson, IN 46011-4769 Ph: (702) 237-8063 |
Kevin R Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2210 Jackson St, Anderson, IN 46016 Phone: 765-683-3118 | |
Susan A Blake, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 765-649-8161 Fax: 317-674-0059 | |
Joanne P Dean, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 765-649-8161 Fax: 317-674-0059 | |
Kristy Hadfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 317-574-1254 | |
Annie L Wood Bell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 College Dr, Anderson, IN 46012 Phone: 765-639-5090 | |
Thomas P Moorman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Brown St, Anderson, IN 46016 Phone: 317-574-1254 Fax: 317-674-0060 | |
Connie C Kellum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2210 Jackson St, Anderson, IN 46016 Phone: 765-683-3118 |