Provider Demographics
NPI:1811140205
Name:SCARBERRY, CHELSIE ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSIE
Middle Name:ANN
Last Name:SCARBERRY
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 1:11321 INTERSTATE 30 STE 104
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-7064
Mailing Address - Country:US
Mailing Address - Phone:501-202-7587
Mailing Address - Fax:
Practice Address - Street 1:11321 INTERSTATE 30 STE 104
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-7064
Practice Address - Country:US
Practice Address - Phone:501-202-7587
Practice Address - Fax:501-202-6683
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2523-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical