| Ms Mary Elizabeth O'donovan, LCSW | |
|
2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | |
| (870) 230-8217 | |
| Not Available |
| Full Name | Ms Mary Elizabeth O'donovan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2607 Caddo St Ste 6, Arkadelphia, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164654919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-7130 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2107-C (Arkansas) | Primary |
| Entity Name | Arkansas Counseling And Psychodiagnostics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902060684 PECOS PAC ID: 0446470124 Enrollment ID: O20140930002778 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Elizabeth O'donovan, LCSW 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 Ph: (870) 230-8217 | Ms Mary Elizabeth O'donovan, LCSW 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 Ph: (870) 230-8217 |
Nicole Hargett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Professional Park Dr, Arkadelphia, AR 71923 Phone: 870-725-6076 | |
Ms. Sue W. Poole, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 N 26th St, Arkadelphia, AR 71923 Phone: 870-246-4123 Fax: 501-620-5109 |