Hillcrest Clinic, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2293-C Issued in AR

Legal business name

HILLCREST CLINIC, INC.

Practice address

3000 Kavanaugh Blvd Ste 209a
Little Rock, AR 72205-3769

Phone

(501) 680-4239

NPI assigned

Aug 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric I Phelps, PHD, LCSWNPI 1679609937

Title

President

Phone

(501) 680-4239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric I Phelps, PHD, LCSW, CGP

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1679609937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1427481282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 PINE VALLEY RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722071817",
            "telephone_number": "501-680-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KAVANAUGH BLVD STE 209A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053769",
            "telephone_number": "501-680-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-680-4239",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2293-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenesha Lynette Hill, PHD
• Vanessa Lynnett Hill, PHARM.D.
• Wameta Tanya S Hill
• William K Hill
• Hillcrest Center for Emotional Wellbeing
• Hillcrest Family Practice Clinic Inc
• Hillcrest Therapy Center
• Bryan C Hiller, D.M.D, MS
• Frederick Charles Hiller, MD
• Candace Patrice Hilliard

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.