MR. TYRONE WHITE LCSW
NPI 1396295903
Social Worker - Clinical in Fairfax, VA

Active since October 06, 2016PECOS EnrolledAccepts Medicare Assignment
12000 GOVERNMENT CENTER PKWY, FAIRFAX, VA 22035(703) 324-7329 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tyrone White Lcsw NPPES

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

MR. TYRONE WHITE LCSW (NPI 1396295903) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904009485) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396295903
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TYRONE WHITECredential: LCSW
Location Address12000 GOVERNMENT CENTER PKWYFairfax, VA 22035-0002
Mailing Address12000 Government Center PkwyFairfax, VA 22035-0002 · (703) 324-7329
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 6, 2016
NPI 1396295903 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 VA · 0904009485
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.
12000 GOVERNMENT CENTER PKWY, Fairfax, VA 22035

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Tyrone White Lcsw 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 ID2365726825
PECOS Enrollment IDI20170228001618
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 22035 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Tyrone White's NPI number?

The NPI number for Tyrone White is 1396295903. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Tyrone White located?

Tyrone White practices at 12000 Government Center Pkwy, Fairfax, VA 22035. The listed phone number is (703) 324-7329.

What is Tyrone White's specialty?

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

Is Tyrone White enrolled in Medicare?

Yes. Tyrone 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.

When was this NPI record last updated?

The NPPES record for Tyrone White was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.