Individual provider Active NPI

Veronica R Combs, MSW, LCSW

  • Clinical Social Worker
  • Harrison, AR
National Provider Identifier
1003042540
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3589-C Issued in AR
Practice address
117 Sawgrass PT
Harrison, AR 72601
Phone
(479) 750-2020
Fax
(479) 750-4843
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3589-C AR Primary

Addresses

Primary practice location

117 Sawgrass PT
Harrison, AR 72601

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304001490 AR Practitioner - Clinical Social Worker 9335379718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Counseling and Family Therapy Center LLCGroup PAC ID 9739506684, 4 clinicians

Practice addresses (Care Compare)

213 W Rush Ave
Harrison, AR 72601-4220
Phone (870) 754-4907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3589-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PT Concepts, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Counseling & Family Therapy Center, LLC Clinical CurrentSince Mar 24, 2020 Accepting new patients
My Therapy LLC PastSince Nov 8, 2025 Accepting new patients

Locations

213 W Rush Ave
Harrison, AR 72601
Phone (870) 754-4907

1200 W Walnut St
Ste 3101
Rogers, AR 72756
Phone (479) 621-0301

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1003042540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SAWGRASS PT",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "VERONICA",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3589-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.