Active NPI
Faith Bedwell, LMSW
- Social Worker
- Jacksonville, AR
National Provider Identifier
1407583560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9670M
- Practice address
- 2126 N 1St St Ste F
Jacksonville, AR 72076-2868 - Phone
- (501) 982-5000
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 9670M | AR | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9670M | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2126 N 1St St Ste F
Jacksonville, AR 72076-2868
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2022.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1407583560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724057870",
"telephone_number": "870-933-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 N 1ST ST STE F",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720762868",
"telephone_number": "501-982-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDWELL",
"first_name": "FAITH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "9670M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.