MR. JENTRY EDWARD TILLMAN (NPI# 1811285620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811285620 |
| Entity Type | Individual |
| Full Name | MR. JENTRY EDWARD TILLMAN |
| Credential | LCSW |
| Practice Address |
Camp Joseph T Robinson North Little Rock AR 72199-0001 |
| Mailing Address |
Po Box 009 North Little Rock AR 72199-0001 |
| Practice Telephone | 5012125441 |
| Mailing Telephone | 5012125441 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7490-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
CAMP JOSEPH T ROBINSON |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72199-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1679171383 | Above and Beyond Mobile Therapy Pllc | Occupational Therapist | 510 Spriggs Rd, North Little Rock, AR 72118-2336 | 2020-10-14 |
| 1528666849 | Anne Marie Kinchen | Driver | 1548 W 10th St, North Little Rock, AR 72114-3948 | 2020-10-09 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1902413115 | Karen Johnson | Home Health Aide | 714 Greendale Dr, North Little Rock, AR 72117-4515 | 2020-09-30 |
| 1528675386 | Kimberly Waller | Registered Nurse | 4000 Richards Rd Ste 4000, North Little Rock, AR 72117-2650 | 2020-09-25 |
| 1154938082 | Travis Ezell | Pharmacist | 760 Michaela Dr, North Little Rock, AR 72117-5361 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
| 1306459888 | Katlyn Elizabeth Young | Occupational Therapy Assistant | 5532 John F Kennedy Blvd, North Little Rock, AR 72116-6708 | 2020-08-25 |
| Find all providers in NORTH LITTLE ROCK | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254631 | Emily Marie Bass | Social Worker | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2017-06-08 |
| 1992127419 | Mccain Psychotherapy Center | Social Worker | 3805 Mccain Park Dr Ste 116, North Little Rock, AR 72116-7813 | 2014-01-17 |
| 1043521370 | Amy Smith Freer | Social Worker | 425 W Broadway St Ste D, North Little Rock, AR 72114-5576 | 2010-07-01 |
| 1659603397 | Mackenzi T. Davis | Social Worker | 4702 W Commercial Dr Ste B3, North Little Rock, AR 72116-7073 | 2010-02-05 |
| 1720312283 | Michael James Casillas | Social Worker | 4260 Stockton Dr, Suite A, North Little Rock, AR 72117-2915 | 2009-09-30 |
| 1487886255 | Chelsie M Hall | Social Worker | 12412 Faulkner Crossing Dr, North Little Rock, AR 72117-9793 | 2009-08-12 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1649427170 | Byron W Scheider | Social Worker | 7609 Tomahawk Dr, North Little Rock, AR 72116-4338 | 2008-08-27 |
| 1154442341 | Angela A Smith | Social Worker | 1900 North Pine Street, North Little Rock, AR 72114 | 2007-04-03 |
| 1285754960 | Thomasena Lamena Mcnutt | Social Worker | 4700w Commercial Dr B, North Little Rock, AR 72116-8089 | 2007-03-29 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72199 |
Please comment or provide details below to improve the information on MR. JENTRY EDWARD TILLMAN.
| 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.