REBECCA ANN LILES (NPI# 1578066452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578066452 |
Entity Type | Individual |
Full Name | REBECCA ANN LILES |
Practice Address |
4077 Jefferson Ave Texarkana AR 71854-1509 |
Mailing Address |
Po Box 1326 Marshall TX 75671-1326 |
Practice Telephone | 8703309200 |
Practice Fax Number | 8703309439 |
Mailing Telephone | 9039273782 |
Mailing Fax Number | 9039271764 |
Enumeration Date | 2018-03-16 |
Last Update Date | 2020-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | 8653-C | AR | Behavioral Health & Social Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE LICENSE | 64819 | 01 |
AR | STATE LICENSE | 8653-C | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1400 College Dr Ste 204, Texarkana, TX 755033575 | 9037911110 | 9037919352 |
Street Address |
4077 JEFFERSON AVE |
City | TEXARKANA |
State | AR |
Zip Code | 71854-1509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487617031 | Kevin Earl Kramer | Pediatrics | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2006-04-06 |
1548745383 | East Texas Border Health Clinic | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-09-27 |
1104316819 | Porscha Nicole Branch | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-05-17 |
1720516719 | Amanda Michelle Ferrer | Family Medicine | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2017-06-02 |
1720364334 | Kathryn E Brannan | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854 | 2011-10-26 |
1275769903 | Tammy Crawford | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854 | 2009-06-09 |
1932262995 | Angela Linda Graves | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
Find all providers in zip 71854 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902219587 | Jessica Bennett | Social Worker | 216 Olive St, Texarkana, AR 71854-5932 | 2014-06-11 |
1366772386 | Kizer Contrel Neal | Social Worker | 4613 Parkway Dr Ste 5, Texarkana, AR 71854-1142 | 2010-01-14 |
1104941319 | Terrance Delores Brewer | Social Worker | 4425 Jefferson Ave Ste 106, Texarkana, AR 71854-1529 | 2007-03-20 |
1679679070 | Kimberly Lyn Baggett | Social Worker | 4096 Summerhill Square, Texarkana, TX 75503 | 2006-09-15 |
1538673140 | Kristine Johansson Yells | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-11-20 |
1558738021 | Raelyn Hardee | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2015-08-31 |
1326461872 | David Alexander Dean | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854 | 2014-02-03 |
1285060012 | Danette Allen | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2013-09-25 |
1073892634 | Terri A Rowe | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2011-08-12 |
1760789622 | Castain Alfred IIi | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2011-02-11 |
Find all providers in TEXARKANA |
Please comment or provide details below to improve the information on REBECCA ANN LILES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.