NPI 1437560679 · live from the CMS NPI Registry
Carissa Bacon
Social Worker in West Memphis, AR. National Provider Identifier 1437560679, active.
NPI record
| NPI | 1437560679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 304 N 6th St, West Memphis, AR 72301 |
| Practice phone | 870-732-1878 |
| Mailing address | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301 |
| Enumerated | May 9, 2014 |
| Last updated | June 6, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.