Healthcare Provider Details

I. General information

NPI: 1912160599
Provider Name (Legal Business Name): MELANIE A BARNES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N BOWMAN RD STE 14
LITTLE ROCK AR
72211-2733
US

IV. Provider business mailing address

400 N BOWMAN RD STE 14
LITTLE ROCK AR
72211-2733
US

V. Phone/Fax

Practice location:
  • Phone: 870-822-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3169-C
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number32975
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: