Provider Demographics
NPI:1699721555
Name:MANSFIELD, REBECCA ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:MANSFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8522 YELLOW OAK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-8521
Mailing Address - Country:US
Mailing Address - Phone:501-691-3306
Mailing Address - Fax:
Practice Address - Street 1:1100 JOHN HARDEN DR
Practice Address - Street 2:HOPE SPRINGS PSYCHOTHERAPY
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-3161
Practice Address - Country:US
Practice Address - Phone:501-983-2925
Practice Address - Fax:501-983-2926
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2073-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical