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BAX WILDER WHITE MSW
NPI 1972233757
Social Worker - Clinical in Portland, OR

Active since June 14, 2022PECOS Enrolled
3615 NE GRAND AVE, PORTLAND, OR 97212(503) 281-1166 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bax Wilder White Msw NPPES

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

BAX WILDER WHITE MSW (NPI 1972233757) is an individual clinical provider in Portland, Oregon and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972233757
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBAX WILDER WHITECredential: MSW
Location Address3615 NE GRAND AVEPortland, OR 97212-2104
Mailing Address8982 N Exeter AvePortland, OR 97203-5920 · (503) 860-3064
Phone(503) 281-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1972233757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3615 NE GRAND AVE, Portland, OR 97212
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Other Names 1

Former Name (1)Elizabeth Anne White

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bax Wilder White Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739670191
PECOS Enrollment IDI20251113000816
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 97212 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

CASSANDRA MOORE
Counselor
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
MADISON ROSE JONES
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
RACHEL ELIZABETH HIRSCH
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
TASYA HERSKOVITS
Marriage & Family Therapist
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
RUBY BEBEKIAN
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
KIMBERLY ANN KNIGHT MACOM, LAC
Acupuncturist
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 200-7579
MS. CHRISTIANA MALINI TUCK
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
ANNA BROWN
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166

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 Bax White's NPI number?

The NPI number for Bax White is 1972233757. It was assigned to this individual provider in the NPPES registry on June 14, 2022. The provider is also known as Elizabeth Anne White.

Where is Bax White located?

Bax White practices at 3615 NE Grand Ave, Portland, OR 97212. The listed phone number is (503) 281-1166.

What is Bax White's specialty?

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

Is Bax White enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bax White was last updated on June 14, 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.