Active NPI
Jennifer Jill Duvall, LCSW
- Social Worker
- Russellville, AR
National Provider Identifier
1760627939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2322-C
- Practice address
- 2424 W Main St
Russellville, AR 72801-2531 - Phone
- (479) 967-4673
- Fax
- (479) 967-7140
- NPI assigned
- Dec 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2322-C | AR | Primary |
Addresses
Primary practice location
2424 W Main St
Russellville, AR 72801-2531
Mailing address
5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2322-C | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1760627939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 BLEAUX AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620737",
"telephone_number": "479-872-5580",
"fax_number": "479-872-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012531",
"telephone_number": "479-967-4673",
"fax_number": "479-967-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "JENNIFER",
"middle_name": "JILL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2322-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.