Individual provider · Type 1 NPI

Brenton Paul Ezell, LCSW

Clinical Social Worker · Piggott, AR

NPI number 1003225301 Active

Practice location

111 S 3rd Ave
Piggott, AR 72454-2634

Call (870) 598-0306 Map

Fax (870) 598-0328

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003225301

Brenton Paul Ezell, LCSW's National Provider Identifier is 1003225301, issued on Aug 12, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Piggott, AR. The record was last updated on Nov 29, 2023.