Healthcare Provider Details

I. General information

NPI: 1881244200
Provider Name (Legal Business Name): PAMELA E GIARDINA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S SHACKLEFORD RD STE 300
LITTLE ROCK AR
72211-3848
US

IV. Provider business mailing address

900 S SHACKLEFORD RD STE 300
LITTLE ROCK AR
72211-3848
US

V. Phone/Fax

Practice location:
  • Phone: 501-960-8794
  • Fax: 501-307-1554
Mailing address:
  • Phone: 501-960-8794
  • Fax: 501-307-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7960-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: