Weatherford, Carla

Weatherford, Carla is an individual health care provider with primary practice located at 1707 Linwood Dr Ste G , Paragould AR 72450-5365. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weatherford, Carla can be contacted via phone (870) 604-4455.

Contact Information

Primary practice address
1707 Linwood Dr Ste G Paragould AR 72450-5365
Phone: (870) 604-4455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2216-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2520-C Arkansas

Profile Details

NPI number 1326215831
LBN Legal business name Weatherford, Carla
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Aug 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326215831 NPPES
Arkansas MEDICAID 228173719

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