Rebecca Shea Woodall, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

535 Jordan Dr
Monticello, AR 71655-5714

Phone

(870) 367-6246

Fax

(855) 926-7383

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, LA2 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

Specialty

Clinical Social Worker

Education

University of Arkansas College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Community Health Services, Inc.Group PAC ID 2769611300, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/
• Direct secure messaging: rebecca.woodall.1@12400.direct.athenahealth.com

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.

• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1952941767
  Medicare reassignment Care Compare group NPD
• Living Hope Southeast, LLC

  • Mental Health Counselor
  • Monticello, AR
  • NPI 1689877862

  Case Manager/Care Coordinator

  Medicare reassignment NPD
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780199265
  NPD
• Mainline Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1205163540
  NPD (past)
• Mainline Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1326717745
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1194009431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380509",
            "telephone_number": "870-538-5414",
            "fax_number": "870-538-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JORDAN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555714",
            "telephone_number": "870-367-6246",
            "fax_number": "855-926-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highway 425 North",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "71655",
            "country_code": "US",
            "telephone_number": "870-224-7100",
            "fax_number": "870-224-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 University Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "71655",
            "country_code": "US",
            "telephone_number": "870-224-0109",
            "fax_number": "855-926-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "REBECCA",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Michelle Wilson
• Tianna Wilson
• Tywana Wilson
• Joshua Daniel Wood, LPC
• Matthew L Wood, APRN
• Yavonda Evett Woodard, AT
• Larohonda Wooden
• Mary Woods
• Noadia Worku, D.O
• Ashley Young, PHARMD

• Social Worker in Monticello, AR
• Providers in Monticello, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.