Individual provider Active NPI

Jordan Ashleigh Reed, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1396317558
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11149-C Issued in AR
Practice address
12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone
(501) 891-5492
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 11149-C AR Primary

Addresses

Primary practice location

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798

Mailing address

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone (501) 891-5492

Other names 1

  • Jordan Ashleigh Baldwin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108003544 AR Practitioner - Clinical Social Worker 2567990260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coco Psychiatric Services PLLCGroup PAC ID 9537579750, 7 clinicians

Practice addresses (Care Compare)

10816 Executive Ctr Dr
Suite 104
Little Rock, AR 72211-4381
Phone (501) 506-1587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11149-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Plus Counseling & Diagnostics LLC CurrentSince Jul 25, 2021 Accepting new patients
Coco Psychiatric Services PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3025 Fountain Dr
Ste 200
Conway, AR 72034
Phone (501) 327-0110

12921 Cantrell Rd
Ste 105
Little Rock, AR 72223
Phone (501) 747-2149

10816 Executive Center Dr
Ste 104
Little Rock, AR 72211
Phone (501) 506-1587

10801 Executive Center Dr
Ste 303
Little Rock, AR 72211
Phone (501) 227-8811

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1396317558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JORDAN",
        "middle_name": "ASHLEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11149-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BALDWIN",
            "middle_name": "ASHLEIGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.