Individual provider Active NPI

Eugenia O'Shea Cottrell, LCSW

  • Clinical Social Worker
  • Eureka Springs, AR
National Provider Identifier
1124112990
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1384-C Issued in AR
Practice address
149 Huntsville Rd
Suite B
Eureka Springs, AR 72632-9730
Phone
(479) 363-4020
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 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 1384-C AR Primary

Addresses

Primary practice location

149 Huntsville Rd
Suite B
Eureka Springs, AR 72632-9730

Mailing address

149 Huntsville Rd
Suite B
Eureka Springs, AR 72632-9730
Phone (479) 363-4020

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
1384-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Guidance Center, Inc PastSince May 25, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1124112990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HUNTSVILLE RD",
            "address_2": "SUITE B",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329730",
            "telephone_number": "479-363-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HUNTSVILLE RD",
            "address_2": "SUITE B",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329730",
            "telephone_number": "479-363-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "EUGENIA",
        "middle_name": "O'SHEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1384-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.