MRS. SUSAN WHITE LCSW-C
NPI 1780172890
Social Worker - Clinical in Wake Forest, NC

Active since April 24, 2018Opted out of Medicare · through Jan 26, 2028
504 WALTERS DR, WAKE FOREST, NC 27587(804) 426-6810 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan White Lcsw-c NPPES

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

MRS. SUSAN WHITE LCSW-C (NPI 1780172890) is an individual clinical provider in Wake Forest, North Carolina, licensed in North Carolina (C011047) and active in the NPI registry since April 2018. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1780172890
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SUSAN WHITECredential: LCSW-C
Location Address504 WALTERS DRWake Forest, NC 27587-6177
Mailing Address504 Walters DrWake Forest, NC 27587-6177 · (804) 426-6810
Sole ProprietorYes
Enumeration DateApril 24, 2018
NPI 1780172890 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 NC · C011047
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.
504 WALTERS DR, Wake Forest, NC 27587

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Susan 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 January 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 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 Susan White's NPI number?

The NPI number for Susan White is 1780172890. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Susan White located?

Susan White practices at 504 Walters Dr, Wake Forest, NC 27587. The listed phone number is (804) 426-6810.

What is Susan White's specialty?

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

Is Susan White enrolled in Medicare?

No. Susan White has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan White accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Susan 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 Susan White was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.