Healthcare Provider Details

I. General information

NPI: 1134044191
Provider Name (Legal Business Name): CONNOR ROBERTSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CONNOR JONES

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 S FILLMORE ST
LITTLE ROCK AR
72204-4909
US

IV. Provider business mailing address

33 OAKEN TRL
JACKSONVILLE AR
72076-9528
US

V. Phone/Fax

Practice location:
  • Phone: 501-906-4250
  • Fax: 501-217-9757
Mailing address:
  • Phone: 501-519-7036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number27397-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: