Healthcare Provider Details

I. General information

NPI: 1619753456
Provider Name (Legal Business Name): JACLYN VICTORIA TROPP LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACLYN CLIFT

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PEARSON
BENTON AR
72015-4436
US

IV. Provider business mailing address

110 PEARSON
BENTON AR
72015-4436
US

V. Phone/Fax

Practice location:
  • Phone: 501-315-4224
  • Fax: 501-778-0450
Mailing address:
  • Phone: 501-315-4224
  • Fax: 501-778-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberPLMSW
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12834-M
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12834-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: