Provider Demographics
NPI:1427113299
Name:WHITE, KERRI ELIZABETH (MSW, LGSW)
Entity type:Individual
Prefix:MISS
First Name:KERRI
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 MALL RD
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-6216
Mailing Address - Country:US
Mailing Address - Phone:304-469-2905
Mailing Address - Fax:304-469-6332
Practice Address - Street 1:350 W OYLER AVE
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-2176
Practice Address - Country:US
Practice Address - Phone:304-469-2905
Practice Address - Fax:304-469-6332
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009427161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical