Jennifer Rawls, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5372-C Issued in AR

Practice address

211 W Pyburn St
Pocahontas, AR 72455-3355

Phone

(870) 609-0082

Fax

(870) 292-6960

NPI assigned

Dec 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tru Wellness, PLLC

  • Clinical Social Worker
  • Pocahontas, AR
  • NPI 1083289706
  Medicare reassignment NPD Authorized official
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Families, Inc. of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocahontas, AR
  • NPI 1275623035
  NPD

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1013211424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W PYBURN ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553355",
            "telephone_number": "870-609-0082",
            "fax_number": "870-292-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W PYBURN ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553355",
            "telephone_number": "870-609-0082",
            "fax_number": "870-292-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5372-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227652719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph County Nursing Home
• Randolph Emergency Group LLC
• Randolph Operations, LLC
• Randolph SNF Operations LLC
• Jacob Adam Rapert
• Ashley N Ray, LPC
• Donna Maria Reagan
• Jessica Reagan, APRN
• Tammy Reed
• Patricia Ann Reynolds, MHPP

• Clinical Social Worker in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.