Provider Demographics
NPI:1295057974
Name:ORSI, AELICA I (LCSW)
Entity type:Individual
Prefix:
First Name:AELICA
Middle Name:I
Last Name:ORSI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALLY
Other - Middle Name:I
Other - Last Name:ORSI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:10201 W MARKHAM ST STE 320
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2195
Mailing Address - Country:US
Mailing Address - Phone:501-503-2800
Mailing Address - Fax:888-965-5951
Practice Address - Street 1:10201 W MARKHAM ST STE 211
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2181
Practice Address - Country:US
Practice Address - Phone:501-503-2800
Practice Address - Fax:888-965-5951
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1373-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical