Robert McCord

Individual provider Active NPI Social Worker · Mountain View, AR

NPI 1104078070 · NPPES record last updated Aug 15, 2023

Key facts

NPI
1104078070
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
12911-M (AR)
Practice address
218 Dogwood Hollow Rd
Mountain View, AR 72560-7942
Phone
(870) 269-7577
NPI assigned
Oct 22, 2008
Sex
Male
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

LicenseStateTypeSpecialty
12911-MARMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PLMSW AR
Case Manager/Care Coordinator 171M00000X AR
Social Worker 104100000X 12911-M AR Yes

Addresses

Primary practice location

218 Dogwood Hollow Rd
Mountain View, AR 72560-7942

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Mountain View, AR

All providers in Mountain View, AR · Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.