Winona Gayle Connor, LCSW

Individual provider Active NPI Clinical Social Worker · Lamar, AR

NPI 1124281209 · NPPES record last updated Dec 27, 2019

Key facts

NPI
1124281209
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2052-C (AR)
Practice address
1000 E Main St
Lamar, AR 72846-7401
Phone
(479) 733-0400
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Services of Arkansas L.L.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2052-C AR Yes

Addresses

Primary practice location

1000 E Main St
Lamar, AR 72846-7401

Mailing address

505 W Grand Ave
Hot Springs, AR 71901-3931
Phone (501) 623-3700

Other identifiers

IdentifierTypeStateIssuer
5EC12OtherARBCBS
14189573OtherARCAQH
236859719MedicaidAR

Other providers in Lamar, AR

All providers in Lamar, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.