| Insight Renewal Center | |
|
12410 Cantrell Rd Ste 202 Little Rock AR 72223-0038 | |
| (015) 414-0111 | |
| (501) 222-1309 |
| Full Name | Insight Renewal Center |
|---|---|
| Speciality | Social Worker |
| Location | 12410 Cantrell Rd Ste 202, Little Rock, Arkansas |
| Authorized Official Name and Position | Michael Mccarther (COO/CFO) |
| Authorized Official Contact | 5044140111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Renewal Center 12410 Cantrell Rd Ste 202 Little Rock AR 72223-0038 Ph: (501) 414-0111 | Insight Renewal Center 12410 Cantrell Rd Ste 202 Little Rock AR 72223-0038 Ph: (015) 414-0111 |
| NPI Number | 1225580913 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 0345593109 |
|---|---|
| Medicare Enrollment ID | O20181024000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225580913 | NPI | - | NPPES |
| 1225580913 | Other | AR | GROUP NPI NUMBER |
| 40904 | Other | AR | MHN |
| BW213 | Other | AR | TRUE BLUE PPO |
| 5W213 | Other | AR | ARKANSAS BCBS PPP |
| 1356431928 | Other | AR | INDIVIDUAL NPI NUMBER |
| 508460000-00 | Other | AR | QUALCHOICE/QCA |
| 5W213 | Other | AR | HEALTH ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1307-C (Arkansas) | Primary |
| Provider Name | Kimberly Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144370396 PECOS PAC ID: 3779631452 Enrollment ID: I20090507000200 |
| Provider Name | Paula Mccarther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356431928 PECOS PAC ID: 2567507551 Enrollment ID: I20100302000426 |
| Provider Name | Amy T. Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427224435 PECOS PAC ID: 9133316896 Enrollment ID: I20101207000460 |
| Provider Name | Lori D Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366876633 PECOS PAC ID: 1557638806 Enrollment ID: I20170517001467 |
| Provider Name | Megan R Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639569809 PECOS PAC ID: 3072851344 Enrollment ID: I20190219000779 |
| Provider Name | Shalae Hesselbein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790152999 PECOS PAC ID: 9032514336 Enrollment ID: I20210825001423 |
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