Christina D Becerra, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7891C Issued in AR

Practice address

900 S Shackleford Rd Ste 300
Little Rock, AR 72211-3848

Phone

(214) 417-5092

NPI assigned

Jun 11, 2019

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1548829781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113848",
            "telephone_number": "214-417-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113848",
            "telephone_number": "214-417-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "CHRISTINA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7891C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Billing",
            "address_1": "900 S Shackleford Rd Ste 300",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722113848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared Cole Beavers, M.D.
• Jessica Blair Beavers, M.D.
• Russell T Beavers, CRNA
• Valerie Beavers, APRN
• A. Jane Beazley
• April Elizabeth Beck, MHPP
• Jason Robert Beck, M.D.
• Jennifer J Beck, LCSW
• Joseph M Beck II, MD
• Paige Bethany Beck, M.D., PH.D.

• 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 Nov 3, 2022; 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.