Individual provider · Type 1 NPI

Altera Reason

Clinical Social Worker · North Little Rock, AR

NPI number 1124770557 Active

Practice location

201 W Broadway St Ste G18
North Little Rock, AR 72114-5541

Fax (501) 285-8321

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7153-C (AR)
Clinical Social Worker Primary 1041C0700X7153-C (AR)

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 1124770557

Altera Reason's National Provider Identifier is 1124770557, issued on Jan 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Little Rock, AR. The record was last updated on Mar 27, 2022.