Provider Demographics
NPI:1336984376
Name:WHITE, DASHAWN ANDREA (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:DASHAWN
Middle Name:ANDREA
Last Name:WHITE
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 N 4TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1600
Mailing Address - Country:US
Mailing Address - Phone:740-633-4440
Mailing Address - Fax:
Practice Address - Street 1:92 N 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1600
Practice Address - Country:US
Practice Address - Phone:740-633-4440
Practice Address - Fax:740-633-4141
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator