Mickey Chaudoin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12686-C Issued in AR

Practice address

300 S Rodney Parham Rd Ste 1
PMB #167
Little Rock, AR 72205-4776

Phone

(870) 393-6328

NPI assigned

Aug 2, 2021

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1295409431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD. SUITE 1",
            "address_2": "PMB #167",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD STE 1",
            "address_2": "PMB #167",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054776",
            "telephone_number": "870-393-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDOIN",
        "first_name": "MICKEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12686-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa K Chatelain, M.A., CCC-SLP
• Stephen M Chatelain, M.D. FACOG
• Lavon Chatman Jr.
• Chatterbus on the Go
• Kshitij Chatterjee, M.D.
• Muhammad Zain Chauhan, MD
• Tyler Chauncy, MD
• Aditi Chaurasia, MBBS
• Leila Rosemary Chavez, MS, OTR/L
• Vonita Chawla, MD

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.