Phillip Myton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8052-C Issued in AR

Practice address

204 Executive CT Ste 302
Little Rock, AR 72205-4551

Phone

(501) 744-4242

NPI assigned

May 13, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1851779680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 302",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054551",
            "telephone_number": "501-744-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 302",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054551",
            "telephone_number": "501-744-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYTON",
        "first_name": "PHILLIP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8052-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teagan Myers
• Cynthia Renee Myhand
• Karen Myler, LPC
• Myles Boys Recovery, Inc.
• Angela Myles, M.D.
• Marianne Nabbout, MD
• Madeline Nachtigal, DO
• Ahad Nadeem
• Meshaal Nadeem, D.O
• Lakshmi Prasanthi Nadimpalli Sri Venkata, M.D.

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.