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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

REBBECCA A WELLBORN, LCSW
2305 OLD COUNTY ROAD
POCAHONTAS, AR72455-4148
 Phone: 870-892-1005
 Fax: 870-892-0078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for REBBECCA A WELLBORN · (Female)

NPI Number 1134328131
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/11/2007
Last updated 02/24/2016 - About 7 months ago
Sole proprietor 1 No
Identifiers
AR License # 2434-C
AR Medicaid 173608795
AR Medicare PIN 5V488C455
AR Other 5V498 BCBS
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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