Active NPI
Jessica Garcia
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1750775920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12108M
- Practice address
- 6210 Baseline Rd
Little Rock, AR 72209-4728 - Phone
- (870) 633-1205
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 12108M | AR | Primary |
Addresses
Primary practice location
6210 Baseline Rd
Little Rock, AR 72209-4728
Mailing address
6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (870) 633-1205
Other practice location 1
2403 Main Dr Ste 1And2
Fayetteville, AR 72704-5223
Phone (479) 249-6379
Other practice location 2
1200 W Walnut St
Rogers, AR 72756-3521
Phone (479) 631-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12108M | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1750775920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722094728",
"telephone_number": "870-633-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722094728",
"telephone_number": "870-633-1205"
}
],
"practiceLocations": [
{
"address_1": "2403 Main Dr Ste 1And2",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727045223",
"country_code": "US",
"telephone_number": "479-249-6379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 W Walnut St",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727563521",
"country_code": "US",
"telephone_number": "479-631-9996",
"fax_number": "479-631-1782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "12108M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.