Toni Erica Clingmon Jennings, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2576-C Issued in AR

Practice address

1719 Merrill Dr
Little Rock, AR 72212-4009

Phone

(501) 663-2199

Fax

(501) 663-2234

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

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.

• Real Development Corporation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1275728974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 MERRILL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124009",
            "telephone_number": "501-663-2199",
            "fax_number": "501-663-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 MERRILL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124009",
            "telephone_number": "501-663-2199",
            "fax_number": "501-663-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGMON JENNINGS",
        "first_name": "TONI",
        "middle_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2576-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2576-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Jean Cline, R.N.P.
• Reid Matthew Cline, D.O.
• Reilly Denise Cline, MS,RD,LD
• Sian Cline
• Rachel Anne Clingenpeel, MD
• Dadreuna Clingmon
• Shirley Ann Clingmon
• Clinic on Main
• Clinical Psychology Services, Inc.
• Erika Dawn Clinton

• All providers in Little Rock, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.

Verify at the official NPI Registry.