Individual provider Active NPI

Anna Johnson, LCSW

  • Clinical Social Worker
  • Eureka Springs, AR
National Provider Identifier
1245840800
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10240-C Issued in AR
Practice address
142 Greenwood Hollow Rd
Eureka Springs, AR 72632-8908
Phone
(417) 772-2242
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10240-M AR
Clinical Social Worker 1041C0700X 10240-C AR Primary

Addresses

Primary practice location

142 Greenwood Hollow Rd
Eureka Springs, AR 72632-8908

Mailing address

PO Box 5623
Bella Vista, AR 72714-0623
Phone (417) 772-2242

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
10240-CARMDClinical Social Worker
10240-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Changes Counseling Clinical CurrentSince Apr 16, 2023 Accepting new patients

Locations

142 Greenwood Hollow Rd
Eureka Springs, AR 72632
Phone (417) 772-2242

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1245840800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5623",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727140623",
            "telephone_number": "417-772-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GREENWOOD HOLLOW RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328908",
            "telephone_number": "417-772-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10240-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10240-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.