Jacquelyn Bearden, LCSW
Individual provider Active NPI Clinical Social Worker · Jacksonville, AR
NPI 1043373616 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043373616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L1017 (AR)
- Practice address
- 2411 W Main St
Jacksonville, AR 72076-4211 - Phone
- (501) 982-5402
- Fax
- (501) 982-5404
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Psych Care of Arkansas PA
Practice addresses (Care Compare)
11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 71.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000209 | AR | Practitioner - Clinical Social Worker | 9537251319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1017 | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Psych Care of Arkansas PA | Clinical | Current |
Accepting new patients |
Locations
811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L1017 | AR | Yes |
Addresses
Primary practice location
2411 W Main St
Jacksonville, AR 72076-4211
Mailing address
2411 W Main St
Jacksonville, AR 72076-4211
Phone (501) 982-5402
Other providers in Jacksonville, AR
- Tina Banks
- Gregory James Barabino
- Marcia Latrice Barbee
- Thomas Anthony Bartole
- Jessie Battles
- Frank Joseph Beaupre
- Stephen Beck
- Faith Bedwell
- Amy Louise Belew
- Harli E Belk
All providers in Jacksonville, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.