Individual provider Active NPI

Jillian Carlan, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1699902403
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6959-C Issued in AR
Practice address
10515 W Markham St Ste B3
Little Rock, AR 72205-2285
Phone
(501) 590-8663
NPI assigned
Jun 18, 2009
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6959-C AR Primary

Addresses

Primary practice location

10515 W Markham St Ste B3
Little Rock, AR 72205-2285

Mailing address

10515 W Markham St Ste B3
Little Rock, AR 72205-2285
Phone (501) 590-8663

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherTAXONOMY CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925002712 AR Practitioner - Clinical Social Worker 0547511875 Practice locations: North Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 W Broadway St
Suite G8
North Little Rock, AR 72114-5554
Phone (501) 590-8663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6959-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jillian Carlan Counseling PLLC Clinical Current Accepting new patients
Transitions Counseling Clinic PLC Clinical PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1699902403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052285",
            "telephone_number": "501-590-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052285",
            "telephone_number": "501-590-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLAN",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6959-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "1041C0700X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.