Individual provider Active NPI

Amy M Atkinson, LMSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1235807967
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11977-M Issued in AR
Practice address
12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone
(501) 891-5492
NPI assigned
Aug 30, 2021
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AR
Clinical Social Worker 1041C0700X 11977-M AR Primary

Addresses

Primary practice location

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798

Mailing address

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone (501) 891-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11977-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Plus Counseling & Diagnostics LLC CurrentSince Sep 5, 2021 Accepting new patients
Pediatrics Plus Therapy Services, LLC PastSince Nov 3, 2024 Accepting new patients

Locations

12921 Cantrell Rd
Ste 105
Little Rock, AR 72223
Phone (501) 747-2149

Organizations & group practices 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1235807967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11977-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.