Active NPI
Lecole Barnes
- Clinical Social Worker
- North Little Rock, AR
National Provider Identifier
1780302745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12186-C
- Practice address
- 3508 John F Kennedy Blvd Ste 2
North Little Rock, AR 72116-8843 - Phone
- (501) 613-7831
- NPI assigned
- Aug 16, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12186-C | AR | Primary |
Addresses
Primary practice location
3508 John F Kennedy Blvd Ste 2
North Little Rock, AR 72116-8843
Mailing address
PO Box 94554
North Little Rock, AR 72190-4554
Phone (501) 613-7831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236900526 | Medicaid | AR |
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 |
|---|---|---|---|
| 12186-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marryland Therapy and Consultation LLC | Clinical | Current | Accepting new patients |
Locations
3508 John F Kennedy Blvd
Ste 2
North Little Rock, AR 72116
Phone (501) 613-7831
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.
-
- Clinical Social Worker
- North Little Rock, AR
- NPI 1144041633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1780302745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94554",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721904554",
"telephone_number": "501-613-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 JOHN F KENNEDY BLVD STE 2",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168843",
"telephone_number": "501-613-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "LECOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "12186-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236900526",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.