Cherie Buckley
Individual provider Active NPI Clinical Social Worker · North Little Rock, AR
NPI 1134415367 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1134415367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3396-C (AR)
- Practice address
- 201 W Broadway St Ste G18
North Little Rock, AR 72114-5541 - Phone
- (501) 471-9195
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20210812000466 | AR | Practitioner - Clinical Social Worker | 9638573652 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextstep Counseling Services, LLC | Current |
Accepting new patients |
Locations
9101 N Rodney Parham Rd
Ste B
Little Rock, AR 72205
Phone (501) 389-8100
1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 3396-C | AR | Yes |
Addresses
Primary practice location
201 W Broadway St Ste G18
North Little Rock, AR 72114-5541
Mailing address
201 W Broadway St Ste G18
North Little Rock, AR 72114-5541
Phone (501) 471-9195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270228719 | Medicaid | AR |
Other providers in North Little Rock, AR
- Ann Bryant
- Cory Bryant
- Erica Celeste Bryant
- Jessica S. Bryant
- Jonathan Bryant
- Pamela Buckley
- Joe Lee Buford
- Tenisha Buford
- Julia Bullard
- Caitlin Bumpass
All providers in North Little Rock, 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 Apr 26, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.