Mrs Jessie Lynn Colter White I, BSW, CDCA, QMHS is a medicare enrolled "Social Worker" provider in Portsmouth, Ohio. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
411 Court St, Portsmouth, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 354-6685.
Mrs Jessie Lynn Colter White I is licensed to practice in Ohio (license number S.2207406) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821647959.
Healthcare Provider's Profile
| Full Name | Mrs Jessie Lynn Colter White I |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 411 Court St, Portsmouth, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jessie Lynn Colter White I graduated from medical school in 2022
NPI Data:
- NPI Number: 1821647959
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931691102
- Enrollment ID: I20251125001193
Medical Identifiers
Medical identifiers for Mrs Jessie Lynn Colter White I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821647959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | LICDC.162447 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2207406 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessie Lynn Colter White I is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jessie Lynn Colter White I, BSW, CDCA, QMHS
411 Court St,
Portsmouth, OH 45662-3932
Ph: (740) 354-6685 | Mrs Jessie Lynn Colter White I, BSW, CDCA, QMHS
411 Court St,
Portsmouth, OH 45662-3932
Ph: (740) 354-6685 |
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