Leslie Tullos, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5961C Issued in AR

Practice address

1652 White Dr
Batesville, AR 72501

Phone

(870) 972-4939

Fax

(870) 972-4911

NPI assigned

Jun 16, 2010

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Springdale, AR
  • NPI 1437750411

  Social Worker

  Medicare reassignment NPD
• Northeast Arkansas Community Mental Health Center Inc

  dba Mid South Systems

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1336118207
  Medicare reassignment NPD
• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1306532767
  NPD
• Northeast Arkansas Community Mental Health Center Inc

  dba Mid-South Health Systems Inc

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1043885759
  NPD

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1881915668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 WHITE DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "684 hwy 62 west suite 2",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "AR",
            "postal_code": "72576",
            "country_code": "US",
            "telephone_number": "870-793-8900 x1133",
            "fax_number": "870-793-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLOS",
        "first_name": "LESLIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2604-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5961C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Logan Treadway, DC
• Andrew Quentin Treat, REGISTERED NURSE
• Emelia Trevino
• Ryleigh Trewyn, QBHP
• Kaushalendra Mani Tripathi, M.D.
• Hannah Turnbough, MCD, CCC-SLP
• Turner Chiropractic Clinic, P.a.
• Rachel S Turner
• Samuel Chase Turner, MD
• Victoria Turner

• Clinical Social Worker in Batesville, AR
• Providers in Batesville, 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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.