Attachment Services of Arkansas
Organization Active NPI Clinical Social Worker · Little Rock, AR
NPI 1629583182 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1629583182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3376-C (AR)
- Legal business name
- ATTACHMENT SERVICES OF ARKANSAS
- Practice address
- 5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757 - Phone
- (501) 414-9141
- Fax
- (501) 904-4409
- NPI assigned
- Dec 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Cindy A Brown, LCSW
- Title
- Organizer
- Phone
- (501) 414-9141
Practitioners 2
-
Cindy Annette Brown, LCSW, M.A., MSW, MBA
-
Jenny A Duke, LAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181116001855 | AR | Part B Supplier - Clinic/Group Practice | 8123372778 |
Receives reassigned benefits from 1 practitioner Practice locations: Little Rock, AR |
National Provider Directory
Locations
5800 Evergreen Dr
Ste G
Little Rock, AR 72205
Phone (501) 414-9141
1302 Cumberland St
Little Rock, AR 72202
Phone (501) 205-4463
4004 McCain Blvd
Ste 203
North Little Rock, AR 72116
Phone (501) 626-8279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 3376-C | AR | Yes |
Addresses
Primary practice location
5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757
Mailing address
217 Johnson St
Little Rock, AR 72205-5823
Phone (501) 414-9141
Other providers in Little Rock, AR
- Evangelina C Atkinson
- Lexis N Atkinson
- Yelena Atlas
- Keerthi Atluri
- Sean Paul Adonis Atreides
- Meenakshi Atteri
- Mohamed Attia
- Abdelrahman Majdi Attili
- Kimberly Lane Atwell
- Atwood Plastic Surgery and Aesthetics
All providers in Little Rock, 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 Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.