Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charla White, LCSW

Individual provider Mental Health Counselor · NPI 1073089942

Charla White, LCSW is a Clinical Social Worker in Prestonsburg, Kentucky. Qualified in 2018, 8 years ago. Practices with Mountain Comprehensive Care Center Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 253638 (KY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1073089942
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address104 S Front Ave, Prestonsburg, KY 41653-1614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mountain Comprehensive Care Center Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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