Individual provider Active NPI

Haley Yarbrough, LCSW

  • Clinical Social Worker
  • Marshall, AR
National Provider Identifier
1053607366
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10097-C Issued in AR
Practice address
316 Hwy 65 North
Marshall, AR 72650
Phone
(870) 448-4727
Fax
(870) 448-4496
NPI assigned
Jun 24, 2011
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10097M AR
Clinical Social Worker 1041C0700X 10097-C AR Primary

Addresses

Primary practice location

316 Hwy 65 North
Marshall, AR 72650

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 725-5115

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
I20230331000648 AR Practitioner - Clinical Social Worker 6204201429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians

Practice addresses (Care Compare)

316 Hwy 65 N
Marshall, AR 72650-7863
Phone (870) 448-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10097MARMDSocial Worker
10097-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Feb 14, 2023 Accepting new patients
Counseling Associates Inc Current Accepting new patients
Counseling Associates, Inc CurrentSince Feb 14, 2023 Accepting new patients

Locations

316 Highway 65 N
Marshall, AR 72650
Phone (870) 448-2176

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1053607366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-725-5115",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HWY 65 NORTH",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "72650",
            "telephone_number": "870-448-4727",
            "fax_number": "870-448-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "HALEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10097M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10097-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, AR

Sources for this page

Verify at the official NPI Registry.