| Vicki White, LCSW | |
|
533 W Washington Ave, Jonesboro, AR 72401-2782 | |
| (870) 229-0302 | |
| (870) 520-6482 |
| Full Name | Vicki White |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 533 W Washington Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134248164 | NPI | - | NPPES |
| 227439719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2623-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foundation A Wellness Practice, Llc | 2668718172 | 4 |
| Entity Name | Northeast Arkansas Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118207 PECOS PAC ID: 0244130839 Enrollment ID: O20040110000206 |
| Entity Name | Foundation: A Wellness Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750878203 PECOS PAC ID: 2668718172 Enrollment ID: O20190103002743 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki White, LCSW 533 W Washington Ave, Jonesboro, AR 72401-2782 Ph: (870) 972-4939 | Vicki White, LCSW 533 W Washington Ave, Jonesboro, AR 72401-2782 Ph: (870) 229-0302 |
Angela Christine Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 615 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-930-9090 | |
Miss Anna Gatlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4508 Stadium Blvd, Jonesboro, AR 72404 Phone: 870-933-6886 Fax: 870-933-9395 | |
Kelli Leann Statler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Destiny Mcgee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4000 Fax: 870-972-4968 | |
Malory Paige Slater, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3649 | |
Ruth Ann Carpenter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Deborah Grace Eberwein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Calvary Cv, Jonesboro, AR 72401 Phone: 870-761-8247 |