Active NPI
Carolyn Ewing, LCSW
- Social Worker
- Monticello, AR
National Provider Identifier
1053569699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2408-C
- Practice address
- 1371 Highway 278 W
Monticello, AR 71655-9663 - Phone
- (870) 367-2143
- Fax
- (870) 367-2145
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2116M | AR | |
| Social Worker | 104100000X | 2408-C | AR | Primary |
Addresses
Primary practice location
1371 Highway 278 W
Monticello, AR 71655-9663
Mailing address
5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2116M | AR | MD | Social Worker |
| 2408-C | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayspring Services of Arkansas LLC | Past | Accepting new patients | |
| Simple Care Solutions LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Monticello, AR
- NPI 1184847394
-
- Adult Psychiatric/Mental Health Registered Nurse
- Decatur, GA
- NPI 1366775058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1053569699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 BLEAUX AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620737",
"telephone_number": "479-872-5580",
"fax_number": "479-872-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 HIGHWAY 278 W",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559663",
"telephone_number": "870-367-2143",
"fax_number": "870-367-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "CAROLYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2116M",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2408-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.