Individual provider Active NPI

Luanne S Nelson, LCSW

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1083132823
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8432-C Issued in AR
Practice address
5601 John F Kennedy Blvd Ste 102
North Little Rock, AR 72116-6758
Phone
(501) 710-6711
Fax
(501) 710-6369
NPI assigned
Aug 31, 2017
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8432-C AR Primary

Addresses

Primary practice location

5601 John F Kennedy Blvd Ste 102
North Little Rock, AR 72116-6758

Mailing address

5601 John F Kennedy Blvd Ste 102
North Little Rock, AR 72116-6758
Phone (501) 710-6711

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8432-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treatment Homes, Inc. Past Accepting new patients
Cardinal Counseling Services PLLC PastSince Mar 1, 2021 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, 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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1083132823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 JOHN F KENNEDY BLVD STE 102",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166758",
            "telephone_number": "501-710-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 JOHN F KENNEDY BLVD STE 102",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166758",
            "telephone_number": "501-710-6711",
            "fax_number": "501-710-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LUANNE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8432-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.