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

Active since August 06, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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 and is a graduate of Other (2018).

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
Phone(901) 930-7397
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathelene Marie White Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082186697
PECOS Enrollment IDI20260615003978
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathelene White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive West Tennessee
5.6 mi
Clinical
33 MURRAY GUARD DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1790472397 (731) 225-4295

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. GREGORY LEE BOHNER LPC-MHSP
Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Madison County (901) 930-7397
THE GROVE BEHAVORIAL HEALTH SERVICES, INC
Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Madison County (731) 300-4232
JENNY LUCILLE FRENCH
Counselor (Mental Health)
109 E LAFAYETTE ST
JACKSON, TN 38301
Madison County (901) 930-7397
MRS. LESLEY RICKMAN LMSW
Social Worker (Clinical)
109 E LAFAYETTE ST
JACKSON, TN 38301
Madison County (901) 930-7397

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathelene White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathelene White reassigns Medicare benefits to Thrive West Tennessee (Jackson, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathelene White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathelene White accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Kathelene White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.