Melissa Hewitt, LCSW

Individual provider Active NPI Clinical Social Worker · Mount Ida, AR

NPI 1407667231 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1407667231
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
26815-C (AR)
Practice address
3316 Highway 270 W
Mount Ida, AR 71957-8320
Phone
(318) 400-0455
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26815-CARMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 26815-C AR
Mental Health Counselor 101YM0800X 26815-C AR
Social Worker 104100000X 26815-C AR
Clinical Social Worker 1041C0700X 26815-C AR Yes

Addresses

Primary practice location

3316 Highway 270 W
Mount Ida, AR 71957-8320

Mailing address

3316 Highway 270 W
Mount Ida, AR 71957-8320
Phone (318) 400-0455

Other providers in Mount Ida, AR

All providers in Mount Ida, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.