Individual provider Active NPI

Matthew Nicholas Yount, LCSW

  • Clinical Social Worker
  • Piggott, AR
National Provider Identifier
1174772180
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2402-C Issued in AR
Practice address
318 E Poplar St
Piggott, AR 72454
Phone
(870) 598-1122
NPI assigned
Sep 15, 2008
Last updated
Sep 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 2402-C AR Primary

Addresses

Primary practice location

318 E Poplar St
Piggott, AR 72454

Mailing address

7101 Hwy 62
Pollard, AR 72456
Phone (870) 450-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190619000743 AR Practitioner - Clinical Social Worker 1153655592 Reassigns benefits to 2 organizations
I20210917002531 MO Practitioner - Clinical Social Worker 1153655592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Relationship Coaching IncGroup PAC ID 0244564680, 4 clinicians

Practice addresses (Care Compare)

103 S Main St
3 Affinity Counseling Services
Kennett, MO 63857-3039
Phone (573) 840-0440

175 N 3Rd Ave
Piggott, AR 72454-2028
Phone (870) 324-5122

402 W Elm St
Corning, AR 72422-2718
Phone (870) 324-5122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas CurrentSince Jan 25, 2020 Accepting new patients
Families, Inc of Arkansas CurrentSince Jan 25, 2020 Accepting new patients
Affinity Relationship Coaching Inc Clinical CurrentSince May 16, 2019 Accepting new patients
Larrys Apothecary Inc Pggot Discount Drugs Past Accepting new patients

Locations

402 W Elm St
Corning, AR 72422
Phone (870) 324-5122

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

111 S 3rd Ave
Piggott, AR 72454
Phone (870) 598-0306

175 N 3rd Ave
Piggott, AR 72454
Phone (870) 598-5353

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

105 W 12th St
Ste A
Caruthersvlle, MO 63830

103 S Main St
Ste 2
Kennett, MO 63857
Phone (573) 714-4746

103 S Main St
Ste 3
Kennett, MO 63857
Phone (573) 840-0440

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1174772180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HWY 62",
            "city": "POLLARD",
            "state": "AR",
            "postal_code": "72456",
            "telephone_number": "870-450-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E POPLAR ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "72454",
            "telephone_number": "870-598-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNT",
        "first_name": "MATTHEW",
        "middle_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2402-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

Verify at the official NPI Registry.