Individual provider Active NPI

Sharon L D Dunaway, MSW

  • Clinical Social Worker
  • Conway, AR
National Provider Identifier
1093810947
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
759C Issued in AR
Practice address
306 Salem Rd
Suite 105
Conway, AR 72034-6159
Phone
(501) 339-1751
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 759C AR Primary

Addresses

Primary practice location

306 Salem Rd
Suite 105
Conway, AR 72034-6159

Mailing address

306 Salem Rd
Suite 105
Conway, AR 72034-6159
Phone (501) 339-1751

Other identifiers 1

IdentifierTypeStateIssuer
390578OtherARMEDICARE PTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
759CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc Current Accepting new patients
Jackie Coombe-Moore PA Past Accepting new patients

Locations

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1093810947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SALEM RD",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346159",
            "telephone_number": "501-339-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SALEM RD",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346159",
            "telephone_number": "501-339-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "SHARON",
        "middle_name": "L D",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "759C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "390578",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.