KATIE REBECCA WHITE LCSW-C
NPI 1740625748
Social Worker - Clinical in Dundalk, MD

Active since May 03, 2013Opted out of Medicare · through Apr 30, 2028
3559 MCSHANE WAY, DUNDALK, MD 21222(410) 459-0856 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Rebecca White Lcsw-c NPPES

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

KATIE REBECCA WHITE LCSW-C (NPI 1740625748) is an individual clinical provider in Dundalk, Maryland, licensed in Maryland (14453) and active in the NPI registry since May 2013. She has opted out of Medicare through April 30, 2028.

NPPES Registry Identity

NPI1740625748
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE REBECCA WHITECredential: LCSW-C
Location Address3559 MCSHANE WAYDundalk, MD 21222-5958
Mailing Address3559 Mcshane WayDundalk, MD 21222-5958 · (410) 459-0856
Sole ProprietorYes
Enumeration DateMay 3, 2013
NPI 1740625748 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 MD · 14453
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.
3559 MCSHANE WAY, Dundalk, MD 21222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katie Rebecca White Lcsw-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2024 through April 30, 2028.

Opt-Out Effective DateApril 30, 2024
Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Katie White's NPI number?

The NPI number for Katie White is 1740625748. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Katie White located?

Katie White practices at 3559 Mcshane Way, Dundalk, MD 21222. The listed phone number is (410) 459-0856.

What is Katie White's specialty?

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

Is Katie White enrolled in Medicare?

No. Katie White has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katie White was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.