Tequlia Everett, LMSW
Individual provider Active NPI Social Worker · White Hall, AR
NPI 1407227176 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1407227176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7599-M (AR)
- Practice address
- 109 Frankie LN
White Hall, AR 71602-2685 - Phone
- (870) 247-3588
- Fax
- (870) 247-2072
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7599-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7599-M | AR | Yes |
Addresses
Primary practice location
109 Frankie LN
White Hall, AR 71602-2685
Mailing address
109 Frankie LN
White Hall, AR 71602-2685
Phone (870) 247-3588
Other providers in White Hall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.