Individual provider Active NPI

Wendy Logsdon

  • Clinical Social Worker
  • Benton, AR
National Provider Identifier
1043592082
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4757-C Issued in AR
Practice address
2806 W Greenbrier
Benton, AR 72015-2678
Phone
(501) 920-5945
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 4757-C AR Primary

Addresses

Primary practice location

2806 W Greenbrier
Benton, AR 72015-2678

Mailing address

PO Box 1896
Benton, AR 72018-1896
Phone (501) 920-5945

Other identifiers 1

IdentifierTypeStateIssuer
229151719MedicaidAR

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
I20140610001969 AR Practitioner - Clinical Social Worker 4082838149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Psych Care of Arkansas PAGroup PAC ID 8820474661, 42 clinicians
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

630 W S St
Benton, AR 72015-4258
Phone (870) 347-2534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4757-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Clinic, Inc. CurrentSince Mar 17, 2014 Accepting new patients
Counseling Clinic, Inc Clinical Current Accepting new patients
Arcare CurrentSince Jan 20, 2020 Accepting new patients
Arcare CurrentSince Jan 20, 2020 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

110 Pearson
Benton, AR 72015
Phone (501) 315-4224

630 W South St
Benton, AR 72015
Phone (501) 860-7150

310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477

Organizations & group practices 5

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1043592082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1896",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181896",
            "telephone_number": "501-920-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W GREENBRIER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152678",
            "telephone_number": "501-920-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4757-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229151719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.