Hyter Rezell Alexander, LMSW
Individual provider Active NPI Clinical Social Worker · Earle, AR
NPI 1508082074 · NPPES record last updated Jun 21, 2011
Key facts
- NPI
- 1508082074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8166 (TN)
- Practice address
- 320 Lee Street
Earle, AR 72331 - Phone
- (870) 792-7769
- Fax
- (870) 792-7561
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Strategies of Arkansas, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8166 | TN | Yes |
| Mental Health Counselor | 101YM0800X | 8166 | TN | |
| Pastoral Counselor | 101YP1600X | TN |
Addresses
Primary practice location
320 Lee Street
Earle, AR 72331
Mailing address
320 Lee Street
Earle, AR 72331
Phone (870) 792-7769
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8166 | Other | TN | BOARD OF SOCIAL WORK LICENSURE |
| 0000 | Other | AR | ARKANSAS SOCIAL WORK LICENSING BOARD |
Other providers in Earle, AR
All providers in Earle, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2011. 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.