KATHELENE MARIE WHITE LMSW
NPI 1063149250
Social Worker - Clinical in Jackson, TN

Active since August 06, 2022PECOS Enrolled
109 E LAFAYETTE ST, JACKSON, TN 38301(901) 930-7397 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathelene Marie White Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHELENE MARIE WHITE LMSW (NPI 1063149250) is an individual clinical provider in Jackson, Tennessee, licensed in Tennessee (LSW0000012084) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063149250
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHELENE MARIE WHITECredential: LMSW
Location Address109 E LAFAYETTE STJackson, TN 38301-7971
Mailing Address116 Vanden St Apt 106Jackson, TN 38301-5690 · (731) 697-3432
Sole ProprietorNo
Enumeration DateAugust 6, 2022
NPPES CertifiedJuly 24, 2022
NPI 1063149250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TN · LSW0000012084
Definition
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.
109 E LAFAYETTE ST, Jackson, TN 38301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathelene Marie White Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Social Worker (Clinical)
109 E LAFAYETTE ST
JACKSON, TN 38301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathelene White's NPI number?

The NPI number for Kathelene White is 1063149250. It was assigned to this individual provider in the NPPES registry on August 6, 2022.

Where is Kathelene White located?

Kathelene White practices at 109 E Lafayette St, Jackson, TN 38301. The listed phone number is (901) 930-7397.

What is Kathelene White's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathelene White enrolled in Medicare?

Yes. Kathelene White is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathelene White was last updated on August 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.