<unavail> in Fayetteville, AR - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fayetteville, Arkansas. The current practice location for is 1 W Sunbridge Dr, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 443-5575. The mailing address for is 1 W Sunbridge Dr, Fayetteville, Arkansas and phone number is (479) 443-5575.

is licensed to practice in Arkansas (license number 1573-C). The clinic also participates in the medicare program and its NPI number is 1467734400. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 443-5575.

Contact Information


	1 W Sunbridge Dr Fayetteville AR 72703-1825
	(479) 443-5575
	(479) 443-9554

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	1 W Sunbridge Dr, Fayetteville, Arkansas
Authorized Official Name and Position	Kathy Quarles Jordan (OWNER)
Authorized Official Contact	4794435575
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1 W Sunbridge Dr Fayetteville AR 72703-1825 Ph: (479) 443-5575	1 W Sunbridge Dr Fayetteville AR 72703-1825 Ph: (479) 443-5575

NPI Details:

NPI Number	1467734400
Provider Enumeration Date	09/15/2011
Last Update Date	09/15/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	4789065343
Medicare Enrollment ID	O20220714000761

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467734400	NPI	-	NPPES
1881623197	Other		INDIVIDUAL NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1573-C (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kathy Q Jordan
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1881623197 PECOS PAC ID: 2365417789 Enrollment ID: I20040830000673

Reviews and Comments

Social Worker in Fayetteville, AR

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Art Feeds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 N Block Ave Ste 311, Fayetteville, AR 72701 Phone: 913-730-6319
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- Medicare Mental Health Clinic in Fayetteville, AR