Individual
MR. RON MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.,L.C.S.W.
Contact information
Practice address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Mailing address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
186-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932174836
CLINIC NPI #
AR
01
—
5S167
LOCAL BCBS
AR
Enumeration date
06/30/2005
Last updated
10/15/2007
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