Organization Active NPI

Nicole Plummer LLC

  • Clinical Social Worker
  • Bentonville, AR
National Provider Identifier
1215828066
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NICOLE PLUMMER LLC
Practice address
3401 SE Macy Rd Ste 14
Bentonville, AR 72712-7843
Phone
(479) 899-5448
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Nicole Plummer, LCSWNPI 1407462583
Title
Owner
Phone
(479) 899-5448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3401 SE Macy Rd Ste 14
Bentonville, AR 72712-7843

Mailing address

707 N Creekwood Rd
Rogers, AR 72756-3112
Phone (479) 899-5448

National Provider Directory

National Provider Directory

Locations

3401 SE Macy Rd
Ste 14
Bentonville, AR 72712
Phone (479) 899-5448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1215828066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N CREEKWOOD RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563112",
            "telephone_number": "479-899-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SE MACY RD STE 14",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127843",
            "telephone_number": "479-899-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE PLUMMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-899-5448",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.