Mr Randy Keith White, LPC is a
Social Worker based in Texarkana, Arkansas. Mr Randy Keith White is licensed to practice in Arkansas (license number 1269-B) and his current practice location is
2904 Arkansas Blvd, Texarkana, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 773-4655.
NPI number for Mr Randy Keith White is 1689633778 and his current mailing address is 2904 Arkansas Blvd, Texarkana, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689633778.
Healthcare Provider's Profile
| Full Name | Mr Randy Keith White |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 2904 Arkansas Blvd, Texarkana, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689633778
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Randy Keith White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689633778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | P0603014 (Arkansas) | Primary |
| 104100000X | Social Worker | 1269-B (Arkansas) | 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 Randy Keith White 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 Randy Keith White, LPC
2904 Arkansas Blvd,
Texarkana, AR 71854-2536
Ph: (870) 773-4655 | Mr Randy Keith White, LPC
2904 Arkansas Blvd,
Texarkana, AR 71854-2536
Ph: (870) 773-4655 |
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