Individual provider Active NPI

Jennifer Dorreen Nelson, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1285886192
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2542-C Issued in AR
Practice address
10515 W Markham St Ste V6
Little Rock, AR 72205-2297
Phone
(501) 960-1711
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2542-C AR Primary

Addresses

Primary practice location

10515 W Markham St Ste V6
Little Rock, AR 72205-2297

Mailing address

10515 W Markham St Ste V6
Little Rock, AR 72205-2297
Phone (501) 960-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Thoughts Therapeutic Services, LLC Clinical CurrentSince Feb 16, 2025 Accepting new patients
Brighter Thoughts, Brighter Days, Inc. Clinical CurrentSince Feb 16, 2025 Accepting new patients
Thriveworks Telepsychiatry - Arkansas CurrentSince May 10, 2022 Accepting new patients

Locations

685 Shelby Trl
Ste 105
Conway, AR 72034
Phone (501) 300-9320

4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1285886192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE V6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052297",
            "telephone_number": "501-960-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE V6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052297",
            "telephone_number": "501-960-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "middle_name": "DORREEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2542-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.