Individual provider Active NPI

Teri E. Haskins, LCSW, ACSW, QCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1447240387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AR 110C Issued in AR
Practice address
2723 Foxcroft Rd
Suite 310
Little Rock, AR 72227-6517
Phone
(501) 221-2222
Fax
(501) 228-0912
NPI assigned
Oct 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AR 110C AR Primary

Addresses

Primary practice location

2723 Foxcroft Rd
Suite 310
Little Rock, AR 72227-6517

Mailing address

2723 Foxcroft Rd
Suite 310
Little Rock, AR 72227-6517
Phone (501) 221-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 5, 2014 through Sep 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AR 110CARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447240387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722276517",
            "telephone_number": "501-221-2222",
            "fax_number": "501-228-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722276517",
            "telephone_number": "501-221-2222",
            "fax_number": "501-228-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "TERI",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW, QCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "AR 110C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.