Provider Demographics
NPI:1508226788
Name:STREIT, NANCY MUMMA (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MUMMA
Last Name:STREIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:STREIT ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5905 FOREST PLACE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5244
Mailing Address - Country:US
Mailing Address - Phone:501-777-3200
Mailing Address - Fax:501-777-3202
Practice Address - Street 1:5905 FOREST PLACE
Practice Address - Street 2:SUITE 230
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5244
Practice Address - Country:US
Practice Address - Phone:501-777-3200
Practice Address - Fax:501-777-3202
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1290C104100000X
AR1290-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker