Eddie B Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1422-C Issued in AR

Practice address

6210 Dollarway Rd
Suite4
Pine Bluff, AR 71602-3733

Phone

(870) 247-3588

Fax

(870) 247-2072

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)
• Center for Hearing, LTD.

  • Audiologist-Hearing Aid Fitter
  • Fort Smith, AR
  • NPI 1417941709
  NPD (past)
• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)
• Senior Resolution Resources, Inc.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1841218393
  NPD (past)
• Uhs of Benton, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Pine Bluff, AR
  • NPI 1699845818
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760595995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 DOLLARWAY RD",
            "address_2": "SUITE4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023733",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 DOLLARWAY RD",
            "address_2": "SUITE4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023733",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "EDDIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1422-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiac & Cancer Institiute, Inc.
• Cardiac & Vascular Center of Arkansas PA
• Cardiac & Vascular Institute, PLLC
• Cardiovascular Surgery Center of South Arkansas, P.a.
• Cares Behavioral Services
• Alma Carroll
• David Aaron Carrouth, MD
• Yalanda Carruth
• Kenneth Carswell, MS, BCPC, PTSDC, CDC
• Hannah Carter, DDS

• Clinical Social Worker in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.