Individual provider Active NPI

David Steven Jennings, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1174600944
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9944-C Issued in AR
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818000870 AR Practitioner - Clinical Social Worker 6103920087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9944-CARMDClinical Social Worker
8502LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freshly Renewed Transitional Clinical CurrentSince Sep 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 28, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 28, 2021 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.

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

Verify at the official NPI Registry.