Lacy J Jordan White (NPI# 1114408150, PAC ID# 7315289790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1114408150 |
| PAC ID by PECOS | 7315289790 |
| Professional Enrollment ID | I20190506000447 |
| Full Name | Lacy J Jordan White |
| Organization Legal Name | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Address |
209 W Criser Rd Suite 100 Front Royal VA 22630-2360 |
| Phone Number | 5406362931 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769371251 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 | 5406362931 | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Organization Legal Name | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Clement Defalco | Nurse Practitioner | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Elizabeth A Sampson | Nurse Practitioner | Northwestern Community Services Board | 494 N Main St, Suite 300, Woodstock, VA 22664-1703 |
| Lakuma R Mogili | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Sue St Clair | Nurse Practitioner | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Marian O Newton | Nurse Practitioner | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| George Dupuy | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Swarna B Reddy | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Charles Robert Goshen | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Elizabeth C Trefzger | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Michele M Moore | Certified Clinical Nurse Specialist (cns) | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Street Address |
209 W CRISER RD SUITE 100 |
| City | FRONT ROYAL |
| State | VA |
| Zip | 22630-2360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian O Newton | Nurse Practitioner | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| George Dupuy | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Charles Robert Goshen | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Elizabeth C Trefzger | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Michele M Moore | Certified Clinical Nurse Specialist (cns) | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca J Vaughan | Clinical Social Worker | 106 Chester St, Front Royal, VA 22630-0030 | |
| Daniel L Carrier | Chiropractic | 307 S St, Front Royal, VA 22630-2113 | |
| Tiffany Marie Judd-alishauskas | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Bridget M Hickson | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Heather C. Cook | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Chinor Fattahi | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| James William Freilich | Interventional Radiology | Warren Memorial Hospital, Inc. | 120 N Commerce St, Suite 230 245 255, Front Royal, VA 22630-2660 |
| Jack Hsu | Otolaryngology | Warren Memorial Hospital, Inc. | 120 N Commerce St, Suite 230 245 255, Front Royal, VA 22630-2660 |
| Meghan Danielle Gilleland Turner | Internal Medicine | Warren Memorial Hospital, Inc. | 120 N Commerce St, Suite 230 245 255, Front Royal, VA 22630-2660 |
| Maria J Laplante | Family Medicine | Warren Memorial Hospital, Inc. | 120 N Commerce St, Suite 230 245 255, Front Royal, VA 22630-2660 |
| Find all physicians in zip 22630 | |||
| City | FRONT ROYAL |
| Zip Code | 22630 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FRONT ROYAL + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.