Healthcare Provider Details

I. General information

NPI: 1053401497
Provider Name (Legal Business Name): ANGELA D HOWARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 MEDICAL CENTER PARKWAY
CLINTON AR
72031-1529
US

IV. Provider business mailing address

PO BOX 1060
MARSHALL AR
72650-1060
US

V. Phone/Fax

Practice location:
  • Phone: 501-745-7888
  • Fax: 877-460-4576
Mailing address:
  • Phone: 870-448-5733
  • Fax: 877-460-4576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1618C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: