Individual provider Active NPI

Bambi Marie Parks, LCSW

  • Clinical Social Worker
  • Maumelle, AR
National Provider Identifier
1114233889
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5190-C Issued in AR
Practice address
701 Murphy Dr Ste 11
Maumelle, AR 72113-6198
Phone
(501) 273-1631
NPI assigned
Aug 19, 2010
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 5190-C AR Primary

Addresses

Primary practice location

701 Murphy Dr Ste 11
Maumelle, AR 72113-6198

Mailing address

701 Murphy Dr Ste 11
Maumelle, AR 72113-6198
Phone (501) 273-1631

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
I20181126000124 AR Practitioner - Clinical Social Worker 1759635154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

701 Murphy Dr
Suite 11
Maumelle, AR 72113-6198
Phone (501) 273-1631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting Pathways LLC CurrentSince Jul 24, 2021 Accepting new patients
Conway Counseling & Psychological Services, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Comprehensive Health Psychology & Testing CurrentSince Jul 27, 2021 Accepting new patients

Locations

224 Shake Rag Rd
Clinton, AR 72031
Phone (501) 358-6606

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

3101 Club Manor Dr
Ste A
Maumelle, AR 72113
Phone (501) 271-8121

701 Murphy Dr
Ste 11
Maumelle, AR 72113
Phone (501) 273-1631

Organizations & group practices 3

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1114233889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MURPHY DR STE 11",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136198",
            "telephone_number": "501-273-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MURPHY DR STE 11",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136198",
            "telephone_number": "501-273-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "BAMBI",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5190-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.