Victor M Flores, LCSW
Individual provider Active NPI Clinical Social Worker · Newport, AR
NPI 1508154071 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1508154071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3931C (AR)
- Practice address
- 2005 McLain St
Newport, AR 72112-3662 - Phone
- (870) 495-1990
- Fax
- (870) 495-1994
- NPI assigned
- Jul 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3931C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Strategies of Arkansas | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3931C | AR | Yes |
Addresses
Primary practice location
2005 McLain St
Newport, AR 72112-3662
Mailing address
2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227824719 | Medicaid | AR |
Other providers in Newport, AR
- Pamela Valarie Estok
- Falwell Medical Clinic Inc
- Vanessa Falwell
- Family Practice Clinic
- Sheray N Featherston
- Franteisha Fontenot
- Lasonya C Ford
- Peggy Foster
- Freds Stores of Tennessee Inc
- Alexia Friar
All providers in Newport, 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 Nov 28, 2022. 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.