Whalio Doctors

NPI 1003921164

Johnnie Ross, LCSW

Practitioner Clinical Social Worker North Little Rock, AR

Practice location

Address
2200 Fort Roots Dr, North Little Rock, AR 72114-1709
Phone
(501) 257-3123

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2457-C (AR)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 1693-M (AR)

Registry record

NPI
1003921164
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2006
Record last updated
12 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.