Tisha R Jenkins, LCSW

NPI #1912230889 in Malvern, Arkansas

Provider Information

NPI Number: 1912230889
Entity Type: Individual
Name: Tisha R Jenkins, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 10, 2009
Last Updated: Jan 22, 2026

Practice Location

Address: 404 E PAGE AVE
City: Malvern
State: Arkansas
ZIP Code: 72104-4248
Phone: (501) 786-9308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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