Carolyn Sue Meadows, LMSW
Individual provider Active NPI Clinical Social Worker · Little Rock, AR
NPI 1053515809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053515809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1341-M (AR)
- Practice address
- 4400 Shuffield Dr
Little Rock, AR 72205-7100 - Phone
- (501) 686-9300
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341-M | AR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1341-M | AR | Yes |
Addresses
Primary practice location
4400 Shuffield Dr
Little Rock, AR 72205-7100
Mailing address
2419 N University Ave
Little Rock, AR 72207-3607
Phone (501) 664-3896
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1341-M | Other | AR | SOCIAL WORK LICENSE |
Other providers in Little Rock, AR
- Frederick A. Meadors
- John N Meadors
- Kevan Meadors
- Liane Meadors
- Steven Meadors
- Lakesha R Meadows
- Meal R US
- Tabitha Renae Mealer
- Kevin Means
- Tambria Means
All providers in Little Rock, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.