Individual provider Active NPI

Wansley Harrison

  • Clinical Social Worker
  • Fort Smith, AR
National Provider Identifier
1093283657
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6792-C Issued in AR
Practice address
5101 Old Greenwood Rd Ste 105
Fort Smith, AR 72903-6913
Phone
(479) 274-8847
NPI assigned
Nov 12, 2018
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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 6792-C AR Primary

Addresses

Primary practice location

5101 Old Greenwood Rd Ste 105
Fort Smith, AR 72903-6913

Mailing address

5101 Old Greenwood Rd Ste 105
Fort Smith, AR 72903-6913
Phone (479) 274-8847

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
I20190102000974 AR Practitioner - Clinical Social Worker 6406191907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5101 Old Greenwood Rd
Suite 105
Fort Smith, AR 72903-6913
Phone (479) 274-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
W. M. Health and Wellness LLC Clinical CurrentSince Sep 18, 2024 Accepting new patients

Locations

5101 Old Greenwood Rd
Ste 105
Fort Smith, AR 72903
Phone (479) 274-8847

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, 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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1093283657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 OLD GREENWOOD RD STE 105",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036913",
            "telephone_number": "479-274-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 OLD GREENWOOD RD STE 105",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036913",
            "telephone_number": "479-274-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WANSLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6792-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.