Individual provider Active NPI

Lecole Barnes

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1780302745
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12186-C Issued in AR
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

Updated by the provider on Dec 4, 2024

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 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

IdentifierTypeStateIssuer
236900526MedicaidAR

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

LicenseStateTypeSpecialty
12186-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marryland Therapy and Consultation LLC Clinical CurrentSince Oct 20, 2024 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.

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.

Verify at the official NPI Registry.