Active NPI
Janis W Hillman, LCSW
- Clinical Social Worker
- Stuttgart, AR
National Provider Identifier
1083663041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1250C
- Practice address
- 121 Commercial Drive B
Stuttgart, AR 72160 - Phone
- (870) 673-1633
- Fax
- (870) 673-1253
- NPI assigned
- May 8, 2006
- Last updated
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1250C | AR | Primary |
Addresses
Primary practice location
121 Commercial Drive B
Stuttgart, AR 72160
Mailing address
2500 Rike Drive
Pine Bluff, AR 71603
Phone (870) 534-1834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T4256979 | Other | AR | MEDICARE ID-TYPE UNSPECIF |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1250C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Arkansas Behavioral Healthcare System Inc | Past | Accepting new patients | |
| Southeast Arkansas Behavioral Healthcare System Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Pine Bluff, AR
- NPI 1457398547
-
- Community/Behavioral Health Agency
- Stuttgart, AR
- NPI 1730334798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1083663041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RIKE DRIVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-534-1834",
"fax_number": "870-534-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 COMMERCIAL DRIVE B",
"city": "STUTTGART",
"state": "AR",
"postal_code": "72160",
"telephone_number": "870-673-1633",
"fax_number": "870-673-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "JANIS",
"middle_name": "W",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1250C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIF",
"identifier": "5T4256979",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuttgart, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.