Bryan Todd Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1379-C Issued in AR

Practice address

4532 Dawson Dr
North Little Rock, AR 72116-7026

Phone

(501) 612-4150

NPI assigned

Oct 19, 2011

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gain, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1871392712
  NPD (past)
• Gain, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1992885180

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1023393287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 DAWSON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167026",
            "telephone_number": "501-612-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 DAWSON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167026",
            "telephone_number": "501-612-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRYAN",
        "middle_name": "TODD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1379-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea J Hain, MOTR L
• Hair Boutique Hub, LLC
• Emma Halbrook, SLP
• Kelly Dawn Haley, BSE
• Beverly Ann Hall, CHILDCARE PROF
• Chelsie M Hall, LCSW
• Cheryl M Hall, CCC-SLP
• Karen Dona Hall, MD
• Megan Azlee Hall
• Sylvana Hall

• Clinical Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.