Jennifer Stickles, LCSW
Individual provider Active NPI Clinical Social Worker · Clarkridge, AR
NPI 1114864402 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1114864402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8120-C (AR)
- Practice address
- 139 County Road 96
Clarkridge, AR 72623-9631 - Phone
- (870) 405-1823
- NPI assigned
- May 4, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Karen Hall, LCSW, PA
Practice addresses (Care Compare)
1905 Chateau Blvd
Suite B
Paragould, AR 72450-6279
Phone (870) 236-2265
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 |
|---|---|---|---|---|
| I20260617000885 | AR | Practitioner - Clinical Social Worker | 2860964269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8120-C | AR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8120-C | AR | Yes |
Addresses
Primary practice location
139 County Road 96
Clarkridge, AR 72623-9631
Mailing address
139 County Road 96
Clarkridge, AR 72623-9631
Phone (870) 405-1823
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. 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.