Individual provider Active NPI

Allison Danielle Wahbi, LSW

  • Social Worker
  • Rogers, AR
National Provider Identifier
1063652907
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
105 W Elm St
Suite 213
Rogers, AR 72756-4531
Phone
(901) 451-9005
Fax
(901) 373-3357
NPI assigned
Mar 5, 2009
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

105 W Elm St
Suite 213
Rogers, AR 72756-4531

Mailing address

105 W Elm St
Suite 213
Rogers, AR 72756-4531
Phone (901) 451-9005

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
I20140807000939 AR Practitioner - Clinical Social Worker 6204053754 Practice locations: Rogers, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 W Elm St
Suite 206
Rogers, AR 72756-4531
Phone (901) 451-9005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1063652907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ELM ST",
            "address_2": "SUITE 213",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564531",
            "telephone_number": "901-451-9005",
            "fax_number": "901-373-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ELM ST",
            "address_2": "SUITE 213",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564531",
            "telephone_number": "901-451-9005",
            "fax_number": "901-373-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBI",
        "first_name": "ALLISON",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.