Brown Sparrow Counseling Inc
Organization Active NPI Clinical Social Worker · Malvern, AR
NPI 1245023738 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1245023738
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BROWN SPARROW COUNSELING INC
- Practice address
- 302 S Main St
Malvern, AR 72104-3737 - Phone
- (916) 300-4587
- NPI assigned
- May 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Julie A Anderson, LCSW
- Title
- President
- Phone
- (916) 300-4587
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250804003920 | AR | Part B Supplier - Clinic/Group Practice | 8628586351 |
Receives reassigned benefits from 1 practitioner Practice locations: Malvern, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
302 S Main St
Malvern, AR 72104-3737
Mailing address
11212 Thompson Dairy Rd
Benton, AR 72019-9451
Phone (916) 300-4587
Other providers in Malvern, AR
- Brick City Health and Wellness Clinic PLLC
- Vanessa Ann Briner
- Ashley Brinkley
- Melony Briscoe
- Brandi Bristow
- Donna Brown
- Vivian Brown
- Tyrontala Brownlee
- Bruce K Burton MD PA
- Deborah Cooper Brumley
All providers in Malvern, 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 May 27, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.