Jennifer Elizabeth Pryor, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018-C Issued in AR

Practice address

350 Salem Rd
Conway, AR 72034-7525

Phone

(501) 200-2390

Fax

(501) 329-5508

NPI assigned

Jul 13, 2006

Last updated

Jan 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling Associates, Inc

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1962169607
  NPD (past)
• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)
• Senior Resolution Resources, Inc.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1841218393
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1982629267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-967-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SALEM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347525",
            "telephone_number": "501-200-2390",
            "fax_number": "501-329-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2018-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promed Preferred in 4 PC
• Promed Preferred TN 3 PLLC
• Avery Leeann Proud
• Providence Family Medicine Clinic Inc
• Ashley Jane Pruitt, RN
• Psi Arkansas Acquisition, LLC (Pharmacy Solutions)
• Pamela Puckett, PHARMD
• Jose Pulido
• Samantha Pulley, LPC
• William Kyle Purcell, LPC

• Clinical Social Worker in Conway, AR
• Providers in Conway, 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 13, 2009; 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.