Mrs Thomasena Lamena Mcnutt, LCSW | |
4700w Commercial Dr B, North Little Rock, AR 72116-8089 | |
(501) 727-3100 | |
(501) 727-3100 |
Full Name | Mrs Thomasena Lamena Mcnutt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4700w Commercial Dr B, North Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285754960 | NPI | - | NPPES |
116378726 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2058-C (Arkansas) | Secondary |
1041C0700X | Social Worker - Clinical | LW61221460 (Washington) | Primary |
Entity Name | Supportive Psych Care Of Arkansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887 |
Mailing Address | Practice Location Address |
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Mrs Thomasena Lamena Mcnutt, LCSW 4700 W Commercial Dr, Suite B1, North Little Rock, AR 72116-7068 Ph: (501) 727-3100 | Mrs Thomasena Lamena Mcnutt, LCSW 4700w Commercial Dr B, North Little Rock, AR 72116-8089 Ph: (501) 727-3100 |
Deborah B. Deacon, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1920 Main St, Suite 231, North Little Rock, AR 72114 Phone: 501-944-0030 | |
Mr. Johnnie Ross Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3123 | |
Monica Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114 Phone: 501-257-1000 | |
Carrie Ellen Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5021 Arlington Dr, North Little Rock, AR 72116 Phone: 501-837-8383 | |
Mrs. Katherine Milholland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3211 | |
Mrs. Debra Inez Calhoun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, 122/nlr, North Little Rock, AR 72114 Phone: 501-257-3308 Fax: 501-257-3301 | |
Mr. Ralph Chris Nash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1920 Main St, Suite 218, North Little Rock, AR 72114 Phone: 501-231-9438 |