Jillian Guthrie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1902-C Issued in AR

Practice address

145 W Van Buren
Eureka Springs, AR 72632-3650

Phone

(479) 244-5181

NPI assigned

Jun 30, 2006

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jillian Guthrie Bradley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ozark Guidance Center, Inc

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1659945194
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1154359784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3074",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726313074",
            "telephone_number": "479-244-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W VAN BUREN",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726323650",
            "telephone_number": "479-244-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1902-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "PENDING",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5Y048",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BRADLEY",
            "middle_name": "GUTHRIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ladenna Alice Evans
• Jason Froeschle
• Francesca Ann Garcia Giri, L.AC
• Miranda Lee Goforth, FNP
• Sarah Williams Gorrell, MSW, LCSW
• Lee M Harvill, CCC-SLP
• Shelley Lynn Harvill, MHPP
• Stephen Andrew Hearn, PT, DPT, ACNP, APRN
• Holly House LTD
• John Mark House, M.D.

• Clinical Social Worker in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.