Merideth L Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4510-C Issued in AR

Practice address

305 Falls Blvd S
Wynne, AR 72396-3041

Phone

(870) 362-3218

Fax

(870) 362-3219

NPI assigned

Jul 20, 2011

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment NPD
• Arcare

  dba ARcare141

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, AR
  • NPI 1780336263
  NPD
• Arcare

  dba ARcare97

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1073801338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963041",
            "telephone_number": "870-362-3218",
            "fax_number": "870-362-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Browns Ln",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017213",
            "country_code": "US",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Julia Ave E",
            "address_purpose": "LOCATION",
            "city": "Wynne",
            "state": "AR",
            "postal_code": "723963506",
            "country_code": "US",
            "telephone_number": "870-238-0377",
            "fax_number": "870-238-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MERIDETH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2676-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4510-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188212795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Sutton, DDS, PA (Sutton Puryear Family Dentistry)
• James R Jacobs, M.D.
• Jherica James
• Alexandria Gaines Jarrett, MCD, CF-SLP
• Natalie Jarrett
• Sara Johnson
• Basil Joiner
• Tonya Jolley, PTA
• Johnny Jones
• Katelynn Jones

• Clinical Social Worker in Wynne, AR
• Providers in Wynne, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.