National Provider Identifier

Melissa Autumn White, LMSW, PHD

Melissa Autumn White, LMSW, PHD is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 368-6900.

NPI 1417790205Rochester, NYSocial Worker

Profile Overview

NPI
1417790205
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
June 18, 2024
Last Updated
June 18, 2024

Practice Location

  • 81 Lake Ave Fl 2
  • Rochester, NY 14608-1410

Phone: (585) 368-6900

Specialties

  • Social Worker (104100000X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1417790205
Entity Type
Individual
Last Name
White
First Name
Melissa
Middle Name
Autumn
Credential
LMSW, PHD
Mailing Street Address
81 Lake Ave Fl 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Mailing Phone
(585) 368-6900
Practice Street Address
81 Lake Ave Fl 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6900
Enumeration Date
June 18, 2024
Last Updated
June 18, 2024
Sex
U
Sole Proprietor
No
Certification Date
June 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Addiction (Substance Use Disorder) Counselor (101YA0400X)