New Roots Counseling Services, LLC
Organization Active NPI Clinical Social Worker · Ward, AR
NPI 1255147708 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1255147708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- NEW ROOTS COUNSELING SERVICES, LLC
- Practice address
- 318 W 2ND St
Ward, AR 72176-7725 - Phone
- (501) 239-4010
- Fax
- (501) 239-4020
- NPI assigned
- Dec 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Jocelyn Pannell, LCSW
- Title
- General Partner
- Phone
- (501) 239-4010
Practitioners 2
-
Vanessa Perdue Brill, LMSW
-
Jocelyn Pannell, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250417000316 | AR | Part B Supplier - Clinic/Group Practice | 9234654732 |
Receives reassigned benefits from 2 practitioners Practice locations: Ward, AR |
National Provider Directory
Locations
318 W 2nd St
Ward, AR 72176
Phone (501) 239-1040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
318 W 2ND St
Ward, AR 72176-7725
Mailing address
PO Box 11
Ward, AR 72176-0011
Phone (501) 239-4010
Other providers in Ward, AR
- Emily C Lovell
- David Mann
- Miranda Massie
- Barbara Greer McCrory
- Margaret McGee
- Bethany Shea Pearrow
- Holly Peters
- Garrett Polk
- Rebekah Marie Prine
- Jamye Rankin
All providers in Ward, 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 Mar 26, 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.