Individual provider Active NPI

Jennifer Balch, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1154834802
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3136-C Issued in AR
Practice address
1 Lile CT Ste 200
Little Rock, AR 72205-6240
Phone
(501) 663-1837
Fax
(501) 663-1839
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1895-M AR
Clinical Social Worker 1041C0700X 3136-C AR Primary

Addresses

Primary practice location

1 Lile CT Ste 200
Little Rock, AR 72205-6240

Mailing address

1 Lile CT Ste 200
Little Rock, AR 72205-6240
Phone (501) 663-1837

Other identifiers 1

IdentifierTypeStateIssuer
1922323096MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516002920 AR Practitioner - Clinical Social Worker 9234516089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Development CorporationGroup PAC ID 1153751334, 9 clinicians

Practice addresses (Care Compare)

1 Lile CT
Suite 200
Little Rock, AR 72205-6240
Phone (501) 663-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1895-MARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Southeast, LLC CurrentSince Apr 20, 2022 Accepting new patients
Real Development Corporation CurrentSince Aug 28, 2025 Accepting new patients

Locations

1 Lile Ct
Ste 200
Little Rock, AR 72205
Phone (501) 224-5500

10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443

1310 W Main St
Ste 201
Russellville, AR 72801
Phone (479) 968-2001

1310 W Main St
Ste 101
Russellville, AR 72801
Phone (479) 964-2011

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1154834802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056240",
            "telephone_number": "501-663-1837",
            "fax_number": "501-663-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056240",
            "telephone_number": "501-663-1837",
            "fax_number": "501-663-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "1895-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3136-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922323096",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.