Individual provider Active NPI

Steve Ray Hackler, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1346397320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1959-C Issued in AR
Practice address
10810 Executive Center Dr
Suite 303
Little Rock, AR 72211-4354
Phone
(501) 312-7578
Fax
(501) 312-7577
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1959-C AR Primary

Addresses

Primary practice location

10810 Executive Center Dr
Suite 303
Little Rock, AR 72211-4354

Mailing address

10810 Executive Center Dr
Suite 303
Little Rock, AR 72211-4354
Phone (501) 312-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1959-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Resolution Resources, Inc. Clinical Past Accepting new patients
Senior Resolution Resources, Inc Past Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346397320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-312-7578",
            "fax_number": "501-312-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-312-7578",
            "fax_number": "501-312-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLER",
        "first_name": "STEVE",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1959-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.