Provider Demographics
NPI:1043837248
Name:WHITE, BRITTNEY CHANTELL (LCSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:CHANTELL
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW, LISW-CP
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:CHANTELL
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LISW-CP
Mailing Address - Street 1:11 MCGUIRES PL
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-8038
Mailing Address - Country:US
Mailing Address - Phone:864-640-0065
Mailing Address - Fax:
Practice Address - Street 1:41 PARK CREEK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4270
Practice Address - Country:US
Practice Address - Phone:864-640-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-03
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC163641041C0700X
NCC0162611041C0700X
TX1129031041C0700X
NCP0146091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical