Individual provider Active NPI

Zachary Anderson Newcomb, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1184914152
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2556-C Issued in AR
Practice address
2592 N Gregg Ave Ste 35
Fayetteville, AR 72703-5541
Phone
(479) 856-2602
Fax
(479) 856-2602
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2556-C AR Primary

Addresses

Primary practice location

2592 N Gregg Ave Ste 35
Fayetteville, AR 72703-5541

Mailing address

2592 N Gregg Ave Ste 35
Fayetteville, AR 72703-5541
Phone (479) 856-2602

Other practice location 1

4052 N Abington Ct
Fayetteville, AR 72703-5047
Phone (479) 856-2602

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
I20180109000228 AR Practitioner - Clinical Social Worker 4486913993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2592 N Gregg Ave
Suite 35
Fayetteville, AR 72703-5541
Phone (479) 856-2602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184914152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE STE 35",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035541",
            "telephone_number": "479-856-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE STE 35",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035541",
            "telephone_number": "479-856-2602",
            "fax_number": "479-856-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4052 N Abington Ct",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035047",
            "country_code": "US",
            "telephone_number": "479-856-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "ZACHARY",
        "middle_name": "ANDERSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2556-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.