Juliana M Bennett, LCSW
Individual provider Active NPI Clinical Social Worker · Pocahontas, AR
NPI 1104371202 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1104371202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8792-C (AR)
- Practice address
- 2305 Old County Road
Pocahontas, AR 72455-4148 - Phone
- (870) 892-1005
- Fax
- (870) 892-0078
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Baptist Children'S Homes and Family Ministries
Practice addresses (Care Compare)
511 W Church St
Pocahontas, AR 72455-2755
Phone (501) 737-4320
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 |
|---|---|---|---|---|
| I20201013000882 | AR | Practitioner - Clinical Social Worker | 3870913858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8792-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Baptist Children'S Homes and Family Ministries | Current |
Accepting new patients |
Locations
9701 W Markham St
Little Rock, AR 72205
Phone (501) 424-4750
56 McClellan Dr
Walnut Ridge, AR 72476
Phone (870) 759-4196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8792-M | AR | |
| Clinical Social Worker | 1041C0700X | 8792-C | AR | Yes |
Addresses
Primary practice location
2305 Old County Road
Pocahontas, AR 72455-4148
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other names
- Juliana M Whitworth
Other providers in Pocahontas, AR
- Faith Banks
- Allie Kay Barnes
- Chelsea R Barnett
- Basco Chiropractic Clinic
- Dennis Geary Basco
- Amanda Jane Billingsley
- Black River Anesthesia, PLC
- Black River Area Development Corp. Senior Citizens Program
- Black River Area Development Corp. Senior Citizens Program
- Stephen K. Blackburn
All providers in Pocahontas, 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 Oct 12, 2020. 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.