Amber Faulkner

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9582-M Issued in AR

Practice address

204 N Rhodes St
West Memphis, AR 72301-3944

Phone

(870) 400-8080

Fax

(870) 400-8079

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Manley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Logan Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1932119187
  NPD

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1184250318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11064",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031001",
            "telephone_number": "870-520-5014",
            "fax_number": "870-520-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013944",
            "telephone_number": "870-400-8080",
            "fax_number": "870-400-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "9582-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MANLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Kannan Everhart, DDS
• Evolve Counseling & Consultation
• Extended Life Personal Care Staffing Agency,LLC
• Tommy Lee Fair, CRNA
• Family Cancer Center, PLLC
• Kolesha Felton
• Fenter Physical Therapy
• Fenter Physical Therapy
• Sara Elizabeth Fenter, PT
• Deborah Thompson Ferguson, DDS

• Social Worker in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.