NPI 1093196313 · live from the CMS NPI Registry
Reed Balentine, LCSW
Social Worker, Clinical in North Little Rock, AR. National Provider Identifier 1093196313, active.
NPI record
| NPI | 1093196313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 |
| Practice phone | 501-594-3656 |
| Mailing address | 115 Steven Dr, Little Rock, AR 72205 |
| Enumerated | June 11, 2015 |
| Last updated | December 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 7579-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.