Reed Balentine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7579-C Issued in AR

Practice address

3805 McCain Park Dr Ste 112
North Little Rock, AR 72116-7813

Phone

(501) 594-3656

NPI assigned

Jun 11, 2015

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Dec 30, 2020.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1093196313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STEVEN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052149",
            "telephone_number": "501-594-3656",
            "fax_number": "501-300-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-594-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENTINE",
        "first_name": "REED",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7579-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Fair Baker, RDH
• Shundrea L Baker
• Samantha Baldwin, PT, DPT
• April S Bale, LCSW
• Amanda Balentine-Depriest, MS, OTR/L
• Lauren Katherine Ballard
• Michael Charles Ballard, L.C.S.W.
• Rohitha Bandla
• Thomas Banh, MD
• Rhonda Faye Banks, MS CCC-SLP

• All providers in North Little Rock, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.