Wendy Clanton, LMSW
Individual provider Active NPI Clinical Social Worker · Centerton, AR
NPI 1851678635 · NPPES record last updated Nov 8, 2011
Key facts
- NPI
- 1851678635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2635-M (AR)
- Practice address
- 250 E Centerton Blvd
Centerton, AR 72719-9240 - Phone
- (479) 795-1802
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635-M | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Bridge | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2635-M | AR | Yes |
Addresses
Primary practice location
250 E Centerton Blvd
Centerton, AR 72719-9240
Mailing address
250 E Centerton Blvd
Centerton, AR 72719-9240
Other providers in Centerton, AR
- Jenna K Buettemeyer
- Megan Elizabeth Busch
- Sharina Darlene Cassity
- Centerton Orthodontics, PLLC
- City of Centerton
- Michael C Colgrove
- Collier Drug Stores Inc
- Collier Drug Stores, Inc.
- Complete Chiropractic Solutions
- Conover Clinics, Inc.
All providers in Centerton, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.