Individual provider Active NPI

Donald Block III, LCSW

  • Clinical Social Worker
  • Fort Smith, AR
National Provider Identifier
1083224364
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10220-C Issued in AR
Practice address
3111 S 70TH St
Fort Smith, AR 72903-5017
Phone
(479) 452-6650
Fax
(479) 452-5847
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 10220-M AR
Clinical Social Worker 1041C0700X 10220-C AR Primary

Addresses

Primary practice location

3111 S 70TH St
Fort Smith, AR 72903-5017

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

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
I20230808004226 AR Practitioner - Clinical Social Worker 1254793219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10220-MARMDSocial Worker
10220-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center CurrentSince Jun 20, 2023 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
The Guidance Center - Whole Health CurrentSince Jun 20, 2023 Accepting new patients

Locations

174 N Welsh Ave
Booneville, AR 72927
Phone (479) 675-3909

311 S Central St
Clarksville, AR 72830
Phone (479) 754-0277

418 S 17th St
Fort Smith, AR 72901
Phone (479) 478-6664

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490

3111 S 70th St
Fort Smith, AR 72903

307 Cherry St
Mena, AR 71953
Phone (479) 394-5277

415 S 6th St
Paris, AR 72855
Phone (479) 963-2140

2705B Oak Ln
Van Buren, AR 72956
Phone (479) 471-5950

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Western Arkansas Counseling and Guidance Center, Inc 61 clinicians

Practice addresses (Care Compare)

3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1083224364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035017",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "DONALD",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10220-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10220-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.