SAMARA LEE DUCKWORTH M.S.
NPI 1619305968
Counselor - Professional in Little Rock, AR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since October 24, 2013PECOS Enrolled

4224 SHUFFIELD DR, LITTLE ROCK, AR 72205(501) 526-8200(501) 526-5296 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samara Lee Duckworth M.s. NPPES

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

SAMARA LEE DUCKWORTH M.S. (NPI 1619305968) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P9702001) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619305968

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAMARA LEE DUCKWORTHCredential: M.S.

Location Address4224 SHUFFIELD DRLittle Rock, AR 72205-7211

Mailing Address4301 W Markham St, Slot 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 686-2576

Phone(501) 526-8200

Fax(501) 526-5296

Sole ProprietorNo

Enumeration DateOctober 24, 2013

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1619305968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P9702001

4224 SHUFFIELD DR, Little Rock, AR 72205

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Secondary Practice Locations 2

Location 11123 S University Ave, Suite 700Little Rock, AR 72204-1650 · Phone (501) 686-2588 · Fax (501) 686-2576

Location 24301 W Markham St # 568Little Rock, AR 72205-7101 · Phone (501) 526-8200 · Fax (501) 526-5296

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samara Lee Duckworth M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL NEVLE MUSICK LCSW

Social Worker (Clinical)