Individual provider Active NPI

Brittany Rachelle Anders, LCSW

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1033513809
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7292-C Issued in AR
Practice address
1024 W Court St Ste B
Paragould, AR 72450-4130
Phone
(870) 205-5555
Fax
(870) 205-5556
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 7292-C AR Primary

Addresses

Primary practice location

1024 W Court St Ste B
Paragould, AR 72450-4130

Mailing address

1024 W Court St Ste B
Paragould, AR 72450-4130
Phone (870) 205-5555

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
I20180614002374 AR Practitioner - Clinical Social Worker 5294080289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoring Hope PLLC Trauma and Substance Use RecoveryGroup PAC ID 0749623270, 2 clinicians

Practice addresses (Care Compare)

1024 W Court St
Suite B
Paragould, AR 72450-4130
Phone (501) 283-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. Clinical Current Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Restoring Hope PLLC Trauma & Substance Use Recovery Clinical CurrentSince Nov 28, 2023 Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244

1024 W Court St
#B
Paragould, AR 72450
Phone (501) 283-2218

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1033513809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 W COURT ST STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504130",
            "telephone_number": "870-205-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 W COURT ST STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504130",
            "telephone_number": "870-205-5555",
            "fax_number": "870-205-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "BRITTANY",
        "middle_name": "RACHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7292-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.