Active NPI
Kizer Contrel Neal, MSW, LCSW
- Clinical Social Worker
- Texarkana, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66235
- Practice address
- 4613 Parkway Dr Ste 5
Texarkana, AR 71854-1142 - Phone
- (918) 510-6066
- NPI assigned
- Jan 14, 2010
- Last updated
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | OK | ||
| Clinical Social Worker | 1041C0700X | CSW004456 | GA | |
| Clinical Social Worker | 1041C0700X | 7458-C | AR | |
| Clinical Social Worker | 1041C0700X | 66235 | TX | Primary |
Addresses
Primary practice location
4613 Parkway Dr Ste 5
Texarkana, AR 71854-1142
Mailing address
4613 Parkway Dr Ste 5
Texarkana, AR 71854-1142
Phone (918) 510-6066
Other practice location 1
1516 S Boston Ave
Suite 100
Tulsa, OK 74119-4003
Phone (918) 561-6000 ext. 235
Other practice location 2
4099 Summerhill Sq
Texarkana, TX 75503-2768
Phone (870) 587-7021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4099 Summerhill SQ
Texarkana, TX 75503-2768
Phone 8705877021700
4613 Pkwy Dr
Suite 5
Texarkana, AR 71854-1191
Phone 8705877021700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004456 | GA | MD | Clinical Social Worker |
| 66235 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dream Lab | Current | Accepting new patients | |
| Arkansas Psychiatric Clinic Clinical Research Trials, PA | Current | Accepting new patients |
Locations
4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060
4613 Parkway Dr
Ste 5
Texarkana, AR 71854
Phone (870) 587-7021
2411 Summerhill Rd
Texarkana, TX 75501
Phone (918) 510-6066
4099 Summerhill Sq
Texarkana, TX 75503
Phone (870) 587-7021
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1548661200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1366772386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 PARKWAY DR STE 5",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541142",
"telephone_number": "918-510-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613 PARKWAY DR STE 5",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541142",
"telephone_number": "918-510-6066"
}
],
"practiceLocations": [
{
"address_1": "1516 S Boston Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741194003",
"country_code": "US",
"telephone_number": "918-561-6000 x235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4099 Summerhill Sq",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032768",
"country_code": "US",
"telephone_number": "870-587-7021",
"fax_number": "870-275-4860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "KIZER",
"middle_name": "CONTREL",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-14",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004456",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7458-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "66235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.