Provider Demographics
NPI:1952500571
Name:WEST, CARLEN A (LCSW)
Entity Type:Individual
Prefix:
First Name:CARLEN
Middle Name:A
Last Name:WEST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARLEN
Other - Middle Name:A
Other - Last Name:BLAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMP
Mailing Address - Street 1:1 MERCY LN STE 506
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6462
Mailing Address - Country:US
Mailing Address - Phone:501-625-6500
Mailing Address - Fax:
Practice Address - Street 1:1 MERCY LN STE 506
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6462
Practice Address - Country:US
Practice Address - Phone:501-622-6500
Practice Address - Fax:501-622-6575
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3256-C1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical