Meagan Keely Crenshaw, LCSW
Individual provider Active NPI Clinical Social Worker · Conway, AR
NPI 1376914630 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1376914630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8380-C (AR)
- Practice address
- 350 Salem Rd Ste 1
Conway, AR 72034-6166 - Phone
- (501) 336-8300
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210329000806 | AR | Practitioner - Clinical Social Worker | 4486061025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8380-M | AR | MD | Social Worker |
| 8380-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates Inc | Current |
Accepting new patients | |
| Counseling Associates, Inc. | Current |
Accepting new patients | |
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
Locations
350 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 336-8300
110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223
2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8380-M | AR | |
| Clinical Social Worker | 1041C0700X | 8380-C | AR | Yes |
Addresses
Primary practice location
350 Salem Rd Ste 1
Conway, AR 72034-6166
Mailing address
350 Salem Rd Ste 1
Conway, AR 72034-6166
Phone (501) 336-8300
Other providers in Conway, AR
- Cecilia Creasman
- Creating Change Therapy PLLC
- Creative Living. Inc
- Thomas Credit
- Iesha A Creggett
- Robin Elise Crenshaw
- Danielle Creswell
- Reshanae L Crift
- Ajah Rachell Criner
- Jessica Criswell
All providers in Conway, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.