Active NPIIndividual providerSole proprietor

Jennifer R Burleson, LCSW

Social Worker, Clinical in Bentonville, Arkansas

NPI Number1881983633
Practice location
1116 S Walton Blvd Ste 114, Bentonville, AR 72712-6126
Fax
—
Last updated
May 4, 2022

Jennifer Renee Burleson is a Social Worker, Clinical based in Bentonville, AR. Jennifer Renee Burleson practices in Bentonville, AR and has the professional credentials of LCSW. The NPI Number for Jennifer Renee Burleson is 1881983633 and holds a License No. 078868 (NY). The current practice location address for Jennifer Renee Burleson is 1116 S Walton Blvd Ste 114, Bentonville, AR 72712-6126 and can be reached out via phone at 479-309-1973.

Provider Profile Details

NPI Number
1881983633
Provider Name
Jennifer Renee Burleson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1116 S Walton Blvd Ste 114, Bentonville, AR 72712-6126
Phone Number
479-309-1973
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Jennifer Vanden Bosch, LCSW (Former Name)
Provider Enumeration Date
April 1, 2011
Last Update Date
May 4, 2022
Certification Date
April 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1116 S Walton Blvd Ste 114
Bentonville, AR 72712-6126
Zip
72712-6126
Phone Number
479-309-1973
Bentonville, AR 72712Get directions →

Provider Business Mailing Address Details

Address
5215 S Brookmere St
Rogers, AR 72758-5097
City
Rogers
State
AR
Zip
72758-5097
Phone Number
917-405-5514

License Information

License Number (1)
078868
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05697100
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
11575-C
License State (3)
AR
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary
License Number (4)
076703
License State (4)
NY
Taxonomy (4)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer R Burleson, LCSW?

The NPI number of Jennifer R Burleson, LCSW is 1881983633. It was assigned on April 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Jennifer R Burleson, LCSW?

Jennifer R Burleson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 078868.

Where does Jennifer R Burleson, LCSW practice?

The practice location is 1116 S Walton Blvd Ste 114, Bentonville, AR 72712-6126. The office can be reached at 479-309-1973 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881983633 directly on the NPPES registry website.

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