Active NPI
Casey M Tate, LMSW
- Social Worker
- Hoxie, AR
National Provider Identifier
1093914509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2647-M
- Practice address
- 503 SE Lindsey
Hoxie, AR 72433 - Phone
- (870) 886-1333
- Fax
- (870) 886-1334
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | |||
| Social Worker | 104100000X | 2647-M | AR | Primary |
Addresses
Primary practice location
503 SE Lindsey
Hoxie, AR 72433
Mailing address
503 SE Lindsey
PO Box 299
Hoxie, AR 72433
Phone (870) 886-1333
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 |
|---|---|---|---|
| 2647-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1093914509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 SE LINDSEY",
"address_2": "PO BOX 299",
"city": "HOXIE",
"state": "AR",
"postal_code": "72433",
"telephone_number": "870-886-1333",
"fax_number": "870-886-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 SE LINDSEY",
"city": "HOXIE",
"state": "AR",
"postal_code": "72433",
"telephone_number": "870-886-1333",
"fax_number": "870-886-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "CASEY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2647-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoxie, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.