LACY JEAN JORDAN WHITE (NPI# 1114408150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114408150 |
| Entity Type | Individual |
| Full Name | LACY JEAN JORDAN WHITE |
| Other Name | LACY JEAN JORDAN |
| Credential | LCSW |
| Practice Address |
209 W Criser Rd Front Royal VA 22630-2360 |
| Practice Telephone | 5406362931 |
| Practice Fax Number | 5406353080 |
| Mailing Telephone | 5406362931 |
| Mailing Fax Number | 5406353080 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904010528 | VA | Behavioral Health & Social Service Providers |
| Street Address |
209 W CRISER RD |
| City | FRONT ROYAL |
| State | VA |
| Zip Code | 22630-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930573 | Northwestern Community Services Board | Counselor | 209 W Criser Rd, Ste 100, Front Royal, VA 22630-2360 | 2005-05-31 |
| 1124637327 | Deloris Hines | Counselor | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2020-07-24 |
| 1366069031 | Laura Jean Szyikowski | Counselor | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2020-06-29 |
| 1508480880 | Jessica Crabill | Counselor | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2020-06-03 |
| 1861034910 | Ryan Matthew Moon | Social Worker | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2019-10-10 |
| 1235693474 | Christopher Charles Fournier | Counselor | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2019-01-22 |
| 1497244404 | Kacie Martin | Social Worker | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2018-05-04 |
| 1194249748 | Northwestern Community Services Board | Non-emergency Medical Transport (VAN) | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2017-07-26 |
| 1306277520 | Jacqueline Fields | Registered Nurse | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 | 2013-12-13 |
| 1205111473 | Sandra Lee Kenney | Licensed Practical Nurse | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1841649712 | Daniel Mendez | Family Medicine | 140 W. Eleventh Street, Front Royal, VA 22630 | 2016-06-10 |
| 1669838579 | Valley Dental Care | Clinic/Center | 842 N. Shenandoah Ave., 1, Front Royal, VA 22630 | 2016-01-07 |
| 1447689088 | Erik Mitchell | Orthopaedic Surgery | 120 N Commerce Ave Ste 103, Front Royal, VA 22630 | 2013-11-04 |
| 1639439789 | John Talbot English IIi | Surgery | 1077 N Shenandoah Ave Ste A, Front Royal, VA 22630 | 2012-05-23 |
| 1316215122 | Roberta M Gilbert | Psychiatry & Neurology | 136 Ruffed Grouse Ct., Lake Frederick, VA 22630 | 2011-12-07 |
| 1407098601 | R.a.c. Security Systems, Inc | Durable Medical Equipment & Medical Supplies | 315 West 14th Street, Front Royal, VA 22630 | 2009-04-02 |
| 1699915298 | National Counseling Group, Inc | Counselor | 134 Peyton Street, Front Royal, VA 22630 | 2009-02-23 |
| 1346449774 | Uhs Front Royal LLC | Psychiatric Residential Treatment Facility | 202 West Criser Road, Suite 400, Front Royal, VA 22630 | 2007-07-16 |
| 1710194774 | Apple Valley Dental Group | Dentist | 869 John Marshall Highway, Suite A, Front Royal, VA 22630 | 2007-05-17 |
| Find all providers in zip 22630 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759109 | Judith Lyn Canterbury | Social Worker | 562 Ashby Station Rd, Front Royal, VA 22630-2015 | 2018-11-15 |
| 1649430497 | Maureen Mcgowan | Social Worker | 44 Chester St, Front Royal, VA 22630-3367 | 2008-06-16 |
| 1972723914 | Rebecca Jean Vaughan | Social Worker | 106 Chester St, Front Royal, VA 22630-3323 | 2007-05-01 |
| 1467526830 | Carol Byrd Olson | Social Worker | 64 Chester St., Front Royal, VA 22630-3367 | 2006-11-20 |
| 1144317843 | Martha Cecelia Neely | Social Worker | 64 Chester St, Front Royal, VA 22630-3367 | 2006-10-06 |
| 1366449738 | Carol E Ellinger | Social Worker | 27 S Royal Ave, Suite 370, Front Royal, VA 22630-3281 | 2005-06-30 |
| 1861034910 | Ryan Matthew Moon | Social Worker | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2019-10-10 |
| 1114483849 | Renee D Stavish | Social Worker | 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 | 2019-02-19 |
| 1497244404 | Kacie Martin | Social Worker | 209 W Criser Rd, Front Royal, VA 22630-2360 | 2018-05-04 |
| 1457857989 | George R Dupuy V | Social Worker | 209 W Criser Rd Ste 300, Front Royal, VA 22630-2360 | 2018-04-03 |
| Find all providers in FRONT ROYAL | ||||
| City | FRONT ROYAL |
| Zip Code | 22630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.