Rachel Nicole Brown, LCSW – Clinical Social Worker

Key facts

NPI: 1003236340
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 7961-C (AR)
Practice address: 2126 N 1St St
Suite F
Jacksonville, AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
NPI assigned: Apr 25, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Discoverbalance Therapy Hub Clinical Social Worker · Cabot, AR · NPI 1821899329

NPD Authorized official CLINICAL
Families, Inc of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Ash Flat, AR · NPI 1174613939

NPD
Families, Inc of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Jonesboro, AR · NPI 1770535569

NPD
Growing Hope Counseling PLLC Community/Behavioral Health Agency · Cabot, AR · NPI 1922499557

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
7961-M	AR	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Families, Inc of Arkansas		Current since Aug 12, 2020	Accepting new patients
Families, Inc of Arkansas		Current since Aug 12, 2020	Accepting new patients
Discoverbalance Therapy Hub	Clinical	Current	Accepting new patients
Growing Hope Counseling PLLC		Past	Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

2126 N 1st St
Ste F
Little Rock AFB, AR 72076
Phone (501) 982-5000

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	7961-M	AR
Clinical Social Worker	1041C0700X	7961-C	AR	Yes

Addresses

Primary practice location

2126 N 1St St
Suite F
Jacksonville, AR 72076-2868

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other identifiers

Identifier	Type	State	Issuer
233985719	Medicaid	AR

Other names

Rachel Nicole Sanders Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2021.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1003236340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N 1ST ST",
            "address_2": "SUITE F",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762868",
            "telephone_number": "501-982-5000",
            "fax_number": "501-982-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7961-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7961-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233985719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SANDERS",
            "middle_name": "NICOLE",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, AR

All providers in Jacksonville, AR · Clinical Social Worker in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.