Individual provider Active NPI

Corrina Nicole Lockhart, LCSW

  • Clinical Social Worker
  • West Memphis, AR
National Provider Identifier
1114894391
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22655-C Issued in AR
Practice address
200 S Rhodes St Ste E
West Memphis, AR 72301-4213
Phone
(870) 394-4116
NPI assigned
Oct 21, 2025
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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 22655-C AR Primary

Addresses

Primary practice location

200 S Rhodes St Ste E
West Memphis, AR 72301-4213

Mailing address

200 S Rhodes St Ste E
West Memphis, AR 72301-4213
Phone (870) 394-4116

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
I20251222000884 AR Practitioner - Clinical Social Worker 0840785473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1105 S Brinkley Loop
Apt 4
Marion, AR 72364-5029

27 Randolph Rd
Howell, NJ 07731-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22655-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Psych Care of Arkansas PA Clinical CurrentSince Dec 1, 2025 Accepting new patients

Locations

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1114894391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RHODES ST STE E",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014213",
            "telephone_number": "870-394-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RHODES ST STE E",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014213",
            "telephone_number": "870-394-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "CORRINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "22655-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.