Sidney Joseph Badeaux, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801068509 Issued in MI

Practice address

2220 Ft. Roots Dr
North Little Rock, AR 72114

Phone

(501) 257-2311

Fax

(501) 257-2308

NPI assigned

Sep 20, 2006

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

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073610317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BERNEY WAY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239112",
            "telephone_number": "501-257-2311",
            "fax_number": "501-257-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 FT. ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-2311",
            "fax_number": "501-257-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEAUX",
        "first_name": "SIDNEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Ayers, P.T.
• Corey Allen Baber, LCSW
• Anil Krishna Bachu, M.D.
• Ashanti Backus
• Lori Bacon, M.D.
• Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC
• Mickey Ronald Bailey, MS
• Robert Blair Bailey
• Jessica Laile Baker, CRNA
• Lorie Ann Baker, M.A.

• 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 Jul 8, 2007; 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.