Mr Charles Marlin White Jr, LCSW LCADC is a
Social Worker - Clinical based in Scotch Plains, New Jersey. Mr Charles Marlin White Jr is licensed to practice in New Jersey (license number 44SC04406400) and his current practice location is
567 Park Avenue, Suite 203, Scotch Plains, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 322-0112.
NPI number for Mr Charles Marlin White Jr is 1366761264 and his current mailing address is 567 Park Avenue, Suite 203, Scotch Plains, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366761264.
Healthcare Provider's Profile
| Full Name | Mr Charles Marlin White Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 567 Park Avenue, Scotch Plains, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366761264
- Provider Enumeration Date: 05/18/2010
- Last Update Date: 06/03/2010
Medical Identifiers
Medical identifiers for Mr Charles Marlin White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366761264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00073100 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC04406400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Marlin White Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Charles Marlin White Jr, LCSW LCADC
567 Park Avenue, Suite 203,
Scotch Plains, NJ 07076-1754
Ph: (908) 322-0112 | Mr Charles Marlin White Jr, LCSW LCADC
567 Park Avenue, Suite 203,
Scotch Plains, NJ 07076-1754
Ph: (908) 322-0112 |
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