Individual provider Active NPI

Vanessa Perdue Brill, LMSW

  • Social Worker
  • Little Rock, AR
National Provider Identifier
1164068961
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8375-M Issued in AR
Practice address
4224 Shuffield Dr.
Little Rock, AR 72205-7199
Phone
(501) 526-8424
Fax
(501) 526-8499
NPI assigned
Nov 27, 2019
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8375-M AR Primary

Addresses

Primary practice location

4224 Shuffield Dr.
Little Rock, AR 72205-7199

Mailing address

25 Apricot Dr
Ward, AR 72176-9529
Phone (501) 773-2035

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
I20200713000858 AR Practitioner - Clinical Social Worker 9830512698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 W 2ND St
P.O. Box 11
Ward, AR 72176-7725
Phone (501) 239-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8375-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Roots Counseling Services, LLC CurrentSince Apr 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 2, 2020 Accepting new patients
American Hope and Health Clinic Associates LLC CurrentSince Aug 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients

Locations

4224 Shuffield Dr
Little Rock, AR 72205
Phone (501) 526-8100

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

318 W 2nd St
Ward, AR 72176
Phone (501) 239-1040

Organizations & group practices 4

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1164068961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 APRICOT DR",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721769529",
            "telephone_number": "501-773-2035",
            "fax_number": "501-526-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 SHUFFIELD DR.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-526-8424",
            "fax_number": "501-526-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "VANESSA",
        "middle_name": "PERDUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8375-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.