Mcfadden, Samantha Ann
Mcfadden, Samantha Ann is an individual health care provider with primary practice located at 1704 Hwy 69 West , Trumann AR 72472-2029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcfadden, Samantha Ann can be contacted via phone (870) 483-4003.Contact Information
Primary practice address
1704 Hwy 69 West
Trumann AR 72472-2029
Phone: (870) 483-4003
Fax: (870) 483-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6520-C | Arkansas |
Profile Details
| NPI number | 1093077620 |
|---|---|
| LBN Legal business name | Mcfadden, Samantha Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2012 |
| Last updated | Nov 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093077620 | NPPES |
| Arkansas | Other | 5BJ46 | BCBS |
| Arkansas | MEDICAID | 192120795 | BCBS |
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