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NPI Code Detail

MEDICARE: DAVID STEVEN JENNINGS LCSW

MEDICARE: DAVID STEVEN JENNINGS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8502LA
21041C0700XClinical Social Worker9944-CAR

General Provider Information

NPI Number : 1174600944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID STEVEN JENNINGS LCSW
Provider Business Mailing Address
First Line : 4301 W MARKHAM ST # 783
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-686-8000
Fax Number : 501-526-5148
Provider Business Practice Location Address
First Line : 4224 SHUFFIELD DR FL 2
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7211
Country : US
Telephone Number : 501-686-8000
Fax Number : 501-526-5296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/26/2021

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Directions to “ DAVID STEVEN JENNINGS LCSW” Practice Location

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