Individual provider Active NPI

Sherri Gansz, LCSW

  • Clinical Social Worker
  • Farmington, AR
National Provider Identifier
1235446733
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2588-C Issued in AR
Practice address
128 Southwinds Rd Ste 5
Farmington, AR 72730-8678
Phone
(479) 267-6934
Fax
(866) 798-3345
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 2588-C AR Primary

Addresses

Primary practice location

128 Southwinds Rd Ste 5
Farmington, AR 72730-8678

Mailing address

PO Box 903
Farmington, AR 72730-0903
Phone (479) 267-6934

Other practice location 1

2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone (479) 464-8081

Other names 1

  • Sherri Anderson Former name

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
I20110525000745 AR Practitioner - Clinical Social Worker 8123204294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

128 Southwinds Rd
Suite 6
Farmington, AR 72730-8685
Phone (479) 267-6934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Care Center, P.L.L.C. CurrentSince Sep 1, 2012 Accepting new patients

Locations

128 Southwinds Rd
Ste 6
Farmington, AR 72730
Phone (479) 267-6934

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1235446733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727300903",
            "telephone_number": "479-267-6934",
            "fax_number": "667-983-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD STE 5",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308678",
            "telephone_number": "479-267-6934",
            "fax_number": "866-798-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 SE Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123725",
            "country_code": "US",
            "telephone_number": "479-464-8081",
            "fax_number": "479-464-0674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANSZ",
        "first_name": "SHERRI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2588-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, AR

Sources for this page

Verify at the official NPI Registry.