Healthcare Provider Details

I. General information

NPI: 1326470550
Provider Name (Legal Business Name): EILEEN ANNE CAULEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 N WASHINGTON AVE
EL DORADO AR
71730-5616
US

IV. Provider business mailing address

602 N WALTON BLVD
BENTONVILLE AR
72712-4576
US

V. Phone/Fax

Practice location:
  • Phone: 870-863-4611
  • Fax: 870-863-4962
Mailing address:
  • Phone: 479-464-1060
  • Fax: 479-271-6307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number557-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: