NPI 1073610317 · live from the CMS NPI Registry
Sidney Joseph Badeaux, MSW
Social Worker, Clinical in North Little Rock, AR. National Provider Identifier 1073610317, active.
NPI record
| NPI | 1073610317 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2220 Ft. Roots Dr, North Little Rock, AR 72114 |
| Practice phone | 501-257-2311 |
| Mailing address | 45 Berney Way Dr, Little Rock, AR 72223 |
| Enumerated | September 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 6801068509 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.