Tisha R. Jenkins, Lcsw P.a. - Medicare Mental Health Clinic in Malvern, AR

Tisha R. Jenkins, Lcsw P.a. is a medicare enrolled mental health clinic (Social Worker - Clinical) in Malvern, Arkansas. The current practice location for Tisha R. Jenkins, Lcsw P.a. is 302 S Main St, Malvern, Arkansas. For appointments, you can reach them via phone at (501) 786-9308. The mailing address for Tisha R. Jenkins, Lcsw P.a. is 302 S Main St, Malvern, Arkansas and phone number is (501) 786-9308.

Tisha R. Jenkins, Lcsw P.a. is licensed to practice in Arkansas (license number 4482-C). The clinic also participates in the medicare program and its NPI number is 1437524170. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (501) 786-9308.

Contact Information

Tisha R. Jenkins, Lcsw P.a.
302 S Main St
Malvern
AR 72104-3737
(501) 786-9308
Not Available

Mental Health Clinic Profile

Full NameTisha R. Jenkins, Lcsw P.a.
SpecialitySocial Worker
Location302 S Main St, Malvern, Arkansas
Authorized Official Name and PositionTisha R. Jenkins (OWNER)
Authorized Official Contact5017869308
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tisha R. Jenkins, Lcsw P.a.
302 S Main St
Malvern
AR 72104-3737

Ph: (501) 786-9308
Tisha R. Jenkins, Lcsw P.a.
302 S Main St
Malvern
AR 72104-3737

Ph: (501) 786-9308

NPI Details:

NPI Number1437524170
Provider Enumeration Date12/07/2015
Last Update Date04/15/2024
Certification Date04/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3779975289
Medicare Enrollment IDO20220113000455

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Medical Identifiers

Medical identifiers for Tisha R. Jenkins, Lcsw P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437524170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 4482-C (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tisha R. Jenkins, Lcsw P.a. acts as a billing entity for following providers:
Provider NameTisha Jenkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912230889
PECOS PAC ID: 7719207414
Enrollment ID: I20150520002051

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