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Provider Information for 1558847889


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SHARICE JANEI WHITE LCSW


Other Names:  
Other Name: 
Mrs. SHARICE JANEI SMART

Sex: Female

NPI: 1558847889
Last Updated: 2023-09-25
Certification Date: 2023-09-25

Details

NameValue
NPI1558847889
Enumeration Date2018-07-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 22919 MERRICK BLVD # 710
LAURELTON, NY 11413-2108
United States

Phone: 929-260-0383 | Fax:
 
Primary Practice Address 140-70 QUEENS BLVD
FOREST HILLS, NY 11375
United States

Phone: 718-275-6010 | Fax:718-275-6062
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNY094954
No 104100000X - Social Worker NY100502