MS. BRENDA L WILLIS MA, BSE
NPI 1770618928
Case Manager/Care Coordinator in Stuttgart, AR

Q: What is Brenda Willis's NPI number?

The NPI number for Brenda Willis is 1770618928. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Brenda Willis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Willis was last updated on November 14, 2023. 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.

Active since February 21, 2007

121 COMMERCIAL DR # B, STUTTGART, AR 72160(870) 673-1633(870) 673-1253 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2023, Oct 31, 2023 (2 updates tracked since 2023).

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About Ms. Brenda L Willis Ma, Bse NPPES

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

MS. BRENDA L WILLIS MA, BSE (NPI 1770618928) is an individual case manager/care coordinator provider in Stuttgart, Arkansas and active in the NPI registry since February 2007. She maintains a secondary practice location in Pine Bluff.

NPPES Registry Identity

NPI1770618928

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. BRENDA L WILLISCredential: MA, BSE

Location Address121 COMMERCIAL DR # BStuttgart, AR 72160-7033

Mailing Address2500 Rike DrPine Bluff, AR 71603-3937 · (870) 534-1834 · Fax (870) 534-5798

Phone(870) 673-1633

Fax(870) 673-1253

Sole ProprietorNo

Enumeration DateFebruary 21, 2007

Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration

NPPES CertifiedNovember 14, 2023

✔ NPI 1770618928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

121 COMMERCIAL DR # B, Stuttgart, AR 72160

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Secondary Practice Location 1

Location 12500 Rike DrPine Bluff, AR 71603-3937 · Phone (870) 534-1834 · Fax (870) 534-5798

Other Identifiers 1

Medicaid172242795AR

Other Providers at the Same Location NPPES 15

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

MISS AMBER LINNISE PURCELL PLMSW

Counselor (Mental Health)

121 COMMERCIAL DR # B, SOUTH LAUREL STREET
STUTTGART, AR 72160

Arkansas County (870) 673-1633

DERRICK LINWOOD BS

Case Manager/Care Coordinator