Individual
MS. TRACEY ELIZABETH MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S 3RD AVE, PIGGOTT, AR 72454-2634
(870) 598-0306
(870) 598-0328
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6850-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190301795
—
AR
01
—
5BN22
BCBS
AR
Enumeration date
03/28/2012
Last updated
05/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us