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

Mr. Tysen Leon White, LCSW

Individual provider Clinical Social Worker · NPI 1073078226

Mr. Tysen Leon White, LCSW is a Clinical Social Worker in Jamaica, New York. Qualified in 2015, 11 years ago. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2019
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

9027 Sutphin Blvd
Jamaica, NY 11435-3647
Phone: (718) 301-5175
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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 094661 (NY)

Record details

NPI number1073078226
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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