Active NPI
David Steven Jennings, LCSW
- Clinical Social Worker
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9944-C
- Practice address
- 4224 Shuffield Dr FL 2
Little Rock, AR 72205-7211 - Phone
- (501) 686-8000
- Fax
- (501) 526-5296
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8502 | LA | |
| Clinical Social Worker | 1041C0700X | 9944-C | AR | Primary |
Addresses
Primary practice location
4224 Shuffield Dr FL 2
Little Rock, AR 72205-7211
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
8404 Baseline Rd
Little Rock, AR 72209-4339
Phone (501) 663-0708
Other practice location 2
6624 Kavanaugh Pl
Little Rock, AR 72207-4111
Phone (985) 991-0017
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9944-C | AR | MD | Clinical Social Worker |
| 8502 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freshly Renewed Transitional | Clinical | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Louisiana Department of Health, Department of Health and Hospitals | Past | Accepting new patients | |
| Department of Health and Hospitals | Past | Accepting new patients |
Locations
8404 Baseline Rd
Little Rock, AR 72209
Phone (501) 663-0708
4224 Shuffield Dr
Fl 2
Little Rock, AR 72205
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Organizations & group practices 5
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.
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Clinical
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- Addiction (Substance Use Disorder) Counselor
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-
- Skilled Nursing Facility
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1174600944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 SHUFFIELD DR FL 2",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057211",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5296"
}
],
"practiceLocations": [
{
"address_1": "8404 Baseline Rd",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722094339",
"country_code": "US",
"telephone_number": "501-663-0708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6624 Kavanaugh Pl",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722074111",
"country_code": "US",
"telephone_number": "985-991-0017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "DAVID",
"middle_name": "STEVEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "8502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "9944-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.