Mr Garrett L Shepard, LCSW | |
1300 Creason Rd, Corning, AR 72422-1716 | |
(870) 857-3399 | |
(870) 857-3301 |
Full Name | Mr Garrett L Shepard |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1300 Creason Rd, Corning, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477923803 | NPI | - | NPPES |
243478795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9698-C (Arkansas) | Primary |
Entity Name | 1st Choice Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942256508 PECOS PAC ID: 0648184218 Enrollment ID: O20100427000059 |
Mailing Address | Practice Location Address |
---|---|
Mr Garrett L Shepard, LCSW Po Box 83, Corning, AR 72422-0083 Ph: (870) 857-3334 | Mr Garrett L Shepard, LCSW 1300 Creason Rd, Corning, AR 72422-1716 Ph: (870) 857-3399 |
Stacy R Arnell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 602 David Street, Corning, AR 72422 Phone: 870-972-4939 Fax: 870-972-4911 | |
Jenna Bingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 Harb St, Corning, AR 72422 Phone: 870-323-1772 | |
Heather Nicole Phillips, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Creason Rd, Corning, AR 72422 Phone: 870-857-3399 Fax: 870-857-3301 |