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Provider Information for 1922286160


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CARLA BROWN LCSW


Sex: Female

NPI: 1922286160
Last Updated: 2022-08-09
Certification Date: 2022-08-09

Details

NameValue
NPI1922286160
Enumeration Date2008-02-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 210 S THOMPSON ST STE 6 BOX 508
SPRINGDALE, AR 72764-4261
United States

Phone: 479-888-2147 | Fax:479-269-1078
 
Primary Practice Address 65 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2894
United States

Phone: 479-888-2147 | Fax:
 
Secondary Practice Address(es)

2400 S. 48TH ST.
SPRINGDALE, AR 72762
United States

Phone: 479-750-2020 | Fax:479-750-8967
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker AR2429-C
No 1041C0700X - Social Worker - ClinicalAR1340-M
Yes 1041C0700X - Social Worker - ClinicalAR2429-C