| Ms Monique Randle, LCSW, CST | |
|
513 Main St, North Little Rock, AR 72114-5329 | |
| (501) 777-5969 | |
| (501) 379-9791 |
| Full Name | Ms Monique Randle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 513 Main St, 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 |
|---|---|---|---|
| 1396941282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110236 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5364-C (Arkansas) | Primary |
| Entity Name | Talkspace Provider Network Ak Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164299715 PECOS PAC ID: 5395285084 Enrollment ID: O20240909002888 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Monique Randle, LCSW, CST 1200 Roosevelt St, Malvern, AR 72104-5550 Ph: (501) 458-1920 | Ms Monique Randle, LCSW, CST 513 Main St, North Little Rock, AR 72114-5329 Ph: (501) 777-5969 |
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 |