Healthcare Provider Details

I. General information

NPI: 1548327414
Provider Name (Legal Business Name): SHEILA E STRONG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N MCKINLEY ST STE 550
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

415 N MCKINLEY ST STE 550
LITTLE ROCK AR
72205-3013
US

V. Phone/Fax

Practice location:
  • Phone: 501-830-8421
  • Fax:
Mailing address:
  • Phone: 501-830-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number868-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: