Provider Demographics
NPI:1871994145
Name:BROWN, CINDY ANNETTE (LCSW, MA, MSW, MBA)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:ANNETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW, MA, MSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5823
Mailing Address - Country:US
Mailing Address - Phone:501-414-9141
Mailing Address - Fax:501-904-4409
Practice Address - Street 1:5800 EVERGREEN DR STE G
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1757
Practice Address - Country:US
Practice Address - Phone:501-414-9141
Practice Address - Fax:501-904-4409
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3376-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical