Jacquelyn Bearden, LCSW
Social Worker, Clinical in Jacksonville, AR. Individual provider (NPI-1).
NPI number1043373616
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043373616
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Bearden
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L1017 | AR | Yes |
Practice location
2411 W Main StJacksonville, AR 72076-4211
Phone 501-982-5402 · Fax 501-982-5404
Mailing address
2411 W Main StJacksonville, AR 72076-4211
Phone 501-982-5402 · Fax 501-982-5404
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Clinical Social Worker providers in Jacksonville · All 628 providers in Jacksonville
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