KERRY C WHITE LCSW
NPI 1417691387
Social Worker - Clinical in Tifton, GA

Active since April 26, 2022PECOS Enrolled
1824 RIDGE AVE N, TIFTON, GA 31794(229) 391-6080 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Kerry C White Lcsw NPPES

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

KERRY C WHITE LCSW (NPI 1417691387) is an individual clinical provider in Tifton, Georgia, licensed in Georgia (CSW008885) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tifton.

NPPES Registry Identity

NPI1417691387
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY C WHITECredential: LCSW
Location Address1824 RIDGE AVE NTifton, GA 31794-3441
Mailing Address826 46th St ETifton, GA 31794-1553 · (229) 472-2593
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1417691387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in GA · CSW008885 Licensed in IL · 149.025875
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.

1824 RIDGE AVE N, Tifton, GA 31794

Secondary Practice Location 1

Location 1826 46th St ETifton, GA 31794-1553 · Phone (229) 472-2593

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kerry C White Lcsw 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 31794 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
1824 RIDGE AVE N
TIFTON, GA 31794

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 Kerry White's NPI number?

The NPI number for Kerry White is 1417691387. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Kerry White located?

Kerry White practices at 1824 Ridge Ave N, Tifton, GA 31794. The listed phone number is (229) 391-6080.

What is Kerry White's specialty?

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

Is Kerry White enrolled in Medicare?

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

What insurance does Kerry White accept?

Health plans from CareSource and UnitedHealthcare list Kerry 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 Kerry White was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.