TISHA R. JENKINS, LCSW P.A.
NPI 1437524170
Social Worker - Clinical in Malvern, AR

Active since December 07, 2015
302 S MAIN ST, MALVERN, AR 72104(501) 786-9308 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2024, Dec 7, 2015 (2 updates tracked since 2015).

About Tisha R. Jenkins, Lcsw P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TISHA R. JENKINS, LCSW P.A. (NPI 1437524170) is a healthcare organization registered as a clinical in Malvern, Arkansas and active in the NPI registry since December 2015. The organization lists Tisha R. Jenkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1437524170
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTISHA R. JENKINS, LCSW P.A.
Location Address302 S MAIN STMalvern, AR 72104-3737
Mailing Address302 S Main StMalvern, AR 72104-3737 · (501) 786-9308
Organization SubpartNo
Authorized OfficialTisha R. JenkinsOwner · (501) 786-9308
Enumeration DateDecember 7, 2015
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1437524170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 4482-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
302 S MAIN ST, Malvern, AR 72104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tisha R. Jenkins, Lcsw P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20220113000455Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tisha R. Jenkins, Lcsw P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1912230889
404 E PAGE AVE
Malvern, AR 72104
(501) 786-9308
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tisha R. Jenkins, Lcsw P.A.'s NPI number?

The NPI number for Tisha R. Jenkins, Lcsw P.A. is 1437524170. It was assigned to this organization in the NPPES registry on December 7, 2015.

Where is Tisha R. Jenkins, Lcsw P.A. located?

Tisha R. Jenkins, Lcsw P.A. is located at 302 S Main St, Malvern, AR 72104. The listed phone number is (501) 786-9308.

What is Tisha R. Jenkins, Lcsw P.A.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tisha R. Jenkins, Lcsw P.A. enrolled in Medicare?

Yes. Tisha R. Jenkins, Lcsw P.A. is registered in the Medicare PECOS enrollment system.

When is Tisha R. Jenkins, Lcsw P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tisha R. Jenkins, Lcsw P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tisha R. Jenkins, Lcsw P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tisha R. Jenkins, Lcsw P.A. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tisha R. Jenkins, Lcsw P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tisha R. Jenkins, Lcsw P.A. was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.