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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3931CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategies of Arkansas Past
since Dec 1, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
227824719MedicaidAR

Other providers in Newport, AR

All providers in Newport, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.