PEGGIE TISDALE-BROWN


Address: 1864 E Parkshore Dr Apt 11, Fayetteville, AR 72703-6268
Phone: 4794434301

PEGGIE TISDALE-BROWN (NPI# 1053816827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053816827
Entity Type Individual
Full Name PEGGIE TISDALE-BROWN
Other Name MRS. PEGGIE TISDALE BROWN
Practice Address 1864 E Parkshore Dr Apt 11
Fayetteville
AR 72703-6268
Mailing Address 1100 N College Ave
Fayetteville
AR 72703-1944
Practice Telephone 4794434301
Practice Fax Number 4795875994
Mailing Telephone 4794434301
Mailing Fax Number 4795875994
Enumeration Date 2018-03-26
Last Update Date 2018-03-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 8100-M AR Behavioral Health & Social Service Providers

Office Location

Street Address 1864 E PARKSHORE DR APT 11
City FAYETTEVILLE
State AR
Zip Code 72703-6268

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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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NPI Name Taxonomy Address Enumeration
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1427683655 Zoe Janell Bridger Social Worker 159 Maxwell St Rm 67, Fayetteville, NC 28301-5592 2020-03-09
1427698828 Yazlyn Maria Jacobs Social Worker 5403 Nessee St, Fayetteville, NC 28314-4600 2020-01-14
1801356399 Ophelia Bates Social Worker 115 Baywatch Cir, Fayetteville, GA 30215-4671 2019-03-21
1679032296 Mary Elizabeth Morgan Social Worker 6803 Holliston Cir, Fayetteville, NY 13066-1708 2019-03-13
1356825830 Erica Bell Social Worker 110 Habersham Dr Ste 142, Fayetteville, GA 30214-1381 2018-09-20
1245725415 Brittany Nicole Jenkins Social Worker 692 Dowfield Dr, Fayetteville, NC 28311-2068 2018-06-28
1164923330 Sherri Holmes Social Worker 96 N Blackberry Ln, Fayetteville, PA 17222-9364 2018-02-23
1104337625 All-american Counseling Wellness Social Worker 5619 Ramsey St, Fayetteville, NC 28311-1423 2017-10-24
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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