Individual provider Active NPI

Michael Scott Hodnett, LCSW

  • Clinical Social Worker
  • Cabot, AR
National Provider Identifier
1043201254
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1744-C Issued in AR
Practice address
2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone
(501) 443-3818
Fax
(501) 521-1001
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 1744-C AR Primary

Addresses

Primary practice location

2796 S 2ND St Ste E
Cabot, AR 72023-7043

Mailing address

2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone (501) 443-3818

Other identifiers 1

IdentifierTypeStateIssuer
156104719MedicaidAR

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
I20060201000912 AR Practitioner - Clinical Social Worker 8628082302 Practice locations: Cabot, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2796 S 2ND St
Suite E
Cabot, AR 72023-7043
Phone (501) 286-6086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1744-CARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1043201254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNETT",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1744-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156104719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.