| Mr Michael James Casillas, LCSW | |
|
4260 Stockton Dr, Suite A, North Little Rock, AR 72117-2915 | |
| (501) 916-9129 | |
| (501) 916-9770 |
| Full Name | Mr Michael James Casillas |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4260 Stockton Dr, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720312283 | NPI | - | NPPES |
| 174400000X | Other | CA | 17-OTHER SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29549 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3491-C (Arkansas) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael James Casillas, LCSW 4260 Stockton Dr, Suite A, North Little Rock, AR 72117-2915 Ph: (501) 916-9129 | Mr Michael James Casillas, LCSW 4260 Stockton Dr, Suite A, North Little Rock, AR 72117-2915 Ph: (501) 916-9129 |
Deborah B. Deacon, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1920 Main St, Suite 231, North Little Rock, AR 72114 Phone: 501-944-0030 | |
Mr. Johnnie Ross Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3123 | |
Monica Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114 Phone: 501-257-1000 | |
Carrie Ellen Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5021 Arlington Dr, North Little Rock, AR 72116 Phone: 501-837-8383 | |
Mrs. Katherine Milholland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3211 | |
Mrs. Debra Inez Calhoun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, 122/nlr, North Little Rock, AR 72114 Phone: 501-257-3308 Fax: 501-257-3301 | |
Mr. Ralph Chris Nash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 Rixie Rd, North Little Rock, AR 72117 Phone: 501-500-2111 Fax: 501-244-9999 |