Individual provider Active NPI

Jennifer Narrow Eidson, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1770886228
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5565-C Issued in AR
Practice address
4241 N Gabel Dr Ste 1a
Fayetteville, AR 72703-5295
Phone
(501) 766-2446
NPI assigned
Dec 6, 2010
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 5565-C AR Primary

Addresses

Primary practice location

4241 N Gabel Dr Ste 1a
Fayetteville, AR 72703-5295

Mailing address

4241 N Gabel Dr Ste 1a
Fayetteville, AR 72703-5295
Phone (501) 766-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Psychological Services Inc. CurrentSince Feb 10, 2019 Accepting new patients

Locations

1212 Military Rd
Benton, AR 72015
Phone (501) 776-2036

1212 Military Rd
Ste D
Benton, AR 72015
Phone (501) 249-6454

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, 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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1770886228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 N GABEL DR STE 1A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035295",
            "telephone_number": "501-766-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 N GABEL DR STE 1A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035295",
            "telephone_number": "501-766-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDSON",
        "first_name": "JENNIFER",
        "middle_name": "NARROW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5565-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.