Tisha R Jenkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4482-C Issued in AR

Practice address

404 E Page Ave
Malvern, AR 72104-4248

Phone

(501) 786-9308

Fax

(818) 864-0043

NPI assigned

Sep 10, 2009

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Tisha R. Jenkins, LCSW P.a.

  • Clinical Social Worker
  • Malvern, AR
  • NPI 1437524170
  Medicare reassignment NPD Authorized official
• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD
• University of Central Arkansas

  • Family Medicine Physician
  • Conway, AR
  • NPI 1912543240
  Medicare reassignment NPD
• University of Central Arkansas

  • Speech-Language Pathologist
  • Conway, AR
  • NPI 1184387540
  NPD
• Amy Neighbors, LPC, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malvern, AR
  • NPI 1295682912
  NPD (past)
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • Malvern, AR
  • NPI 1003282070
  NPD (past)
• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602

  Clinical

  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1912230889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721040224",
            "telephone_number": "501-786-9308",
            "fax_number": "818-864-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E PAGE AVE",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044248",
            "telephone_number": "501-786-9308",
            "fax_number": "818-864-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 224",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721040224",
            "country_code": "US",
            "telephone_number": "501-786-9308",
            "fax_number": "818-864-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TISHA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2581-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4482-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Ingram
• Stephanie Ireland
• Courtney Jackson
• Shelley Jackson
• Jacqueline Kilgore LLC
• Tammy Jennings
• Chad Johnson
• Christopher Alan Johnson, MHPP
• Felisha Paula Johnson, PRIMARY THERAPIST
• Kiasia Johnson

• Clinical Social Worker in Malvern, AR
• Providers in Malvern, 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 Jan 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.