Healthcare Provider Details

I. General information

NPI: 1023366218
Provider Name (Legal Business Name): CELESTE CLARICE PARTEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 DEERBERRY FOREST CIR
LITTLE ROCK AR
72211-4427
US

IV. Provider business mailing address

32 DEERBERRY FOREST CIR
LITTLE ROCK AR
72211-4427
US

V. Phone/Fax

Practice location:
  • Phone: 501-749-3077
  • Fax:
Mailing address:
  • Phone: 501-749-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109652
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6519-C
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number257592
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31121
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8593
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20896
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: