Individual provider Active NPI

Heather Leann Zimmerman, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1013667906
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10221-C Issued in AR
Practice address
1384 S Splash Dr
Fayetteville, AR 72701-2003
Phone
(501) 764-8757
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 10221-C AR Primary

Addresses

Primary practice location

1384 S Splash Dr
Fayetteville, AR 72701-2003

Mailing address

250 N Aqua Xing Apt 6
Fayetteville, AR 72701-7387
Phone (501) 764-8757

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
I20250317001767 AR Practitioner - Clinical Social Worker 1658893987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

4704 W Commercial Dr
Suite a
North Little Rock, AR 72116-8040
Phone (501) 397-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10221-CARMDClinical Social Worker

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 18, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Mar 5, 2025 Accepting new patients
Thriveworks Telepsychiatry - Arkansas PastSince May 10, 2022 Accepting new patients

Locations

4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • MS PPO

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1013667906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N AQUA XING APT 6",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017387",
            "telephone_number": "501-764-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 S SPLASH DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012003",
            "telephone_number": "501-764-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "HEATHER",
        "middle_name": "LEANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10221-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.