Active NPI
Robin Leslie Edmiston, LMSW
- Social Worker
- Forrest City, AR
National Provider Identifier
1083741607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1812-M
- Practice address
- 3998 Highway 1 N
Forrest City, AR 72335-7637 - Phone
- (870) 633-8780
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1812-M | AR | Primary |
Addresses
Primary practice location
3998 Highway 1 N
Forrest City, AR 72335-7637
Mailing address
PO Box 148
Marion, AR 72364-0148
Phone (870) 739-2737
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 |
|---|---|---|---|
| 1812-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids for the Future of Marion | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmental Therapist
- Marion, AR
- NPI 1336336122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1083741607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "MARION",
"state": "AR",
"postal_code": "723640148",
"telephone_number": "870-739-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 HIGHWAY 1 N",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723357637",
"telephone_number": "870-633-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMISTON",
"first_name": "ROBIN",
"middle_name": "LESLIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "1812-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.