Provider Demographics
NPI:1336289453
Name:CAMDEN, CHANDA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHANDA
Middle Name:
Last Name:CAMDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W CAPITOL AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-3421
Mailing Address - Country:US
Mailing Address - Phone:501-975-0009
Mailing Address - Fax:501-975-0009
Practice Address - Street 1:401 W CAPITOL AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3421
Practice Address - Country:US
Practice Address - Phone:501-975-0009
Practice Address - Fax:501-975-0009
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1809-M101YM0800X
AR2437-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health