Ricky Fontenette Jr.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

PO Box 1400
Little Rock, AR 72203-1400

Phone

(501) 372-5039

NPI assigned

Jun 10, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Treatment Homes, Inc.

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1295945202
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1508608662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722031400",
            "telephone_number": "501-372-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722031400",
            "telephone_number": "501-372-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENETTE",
        "first_name": "RICKY",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Steimel Fogle
• Ida Latrecia Fogle, LCSW
• Caitlin Bronwyn Foley
• Elizabeth Folwer, LCSW
• Rebecca Fong, PHARMD
• Eudice E. Fontenot, MD
• Tommeisha Fonzie, RN
• Foot & Ankle Associates of Central Arkansas, PLLC
• Foot & Ankle Center of Little Rock PLLC
• Foot & Ankle Center of Little Rock, PLLC (Washburn Foot and Ankle Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.