Katie Elliott

Individual provider Active NPI Clinical Social Worker · Dumas, AR

NPI 1760735294 · NPPES record last updated May 24, 2016

Key facts

NPI
1760735294
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
708 Highway 65 S
Dumas, AR 71639-3004
Phone
(870) 367-2461
Fax
(870) 460-6133
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Counseling Associates Inc Past
since Oct 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

708 Highway 65 S
Dumas, AR 71639-3004

Mailing address

790 Roberts Dr
Monticello, AR 71655-5723
Phone (870) 367-2461

Other providers in Dumas, AR

All providers in Dumas, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.