Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Perry

Individual provider Clinical Social Worker · NPI 1528514395

Jessica Perry is a Clinical Social Worker in Fayetteville, Arkansas. Qualified in 2018, 8 years ago. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2016
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Practice location Address checks out

130 N College Ave Ste 5
Fayetteville, AR 72701-5343
Phone: (479) 396-8806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9158-C (AR)

Record details

NPI number1528514395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fayetteville