Jena Elaine Miesner, LCSW

Individual provider Active NPI Clinical Social Worker · Little Rock Afb, AR

NPI 1588891709 · NPPES record last updated Apr 25, 2022

Key facts

NPI
1588891709
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2571 C (AR)
Practice address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone
(501) 987-0941
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2571 CARMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2571 C AR Yes

Addresses

Primary practice location

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Mailing address

1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-0941

Other providers in Little Rock Afb, AR

All providers in Little Rock Afb, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.