Individual provider Active NPI

Michael Brooks Higginbotham, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1245995398
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7485-C Issued in AR
Practice address
10515 W Markham St Ste F1
Little Rock, AR 72205-2291
Phone
(479) 333-1811
Fax
(501) 302-4006
NPI assigned
Nov 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7485-C AR Primary

Addresses

Primary practice location

10515 W Markham St Ste F1
Little Rock, AR 72205-2291

Mailing address

1406 Silver Creek Dr
Sherwood, AR 72120-6533

Other practice location 1

2723 Foxcroft Rd Ste 310
Little Rock, AR 72227-6516
Phone (479) 333-1811

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
7485-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Recovery and Wellness Clinical CurrentSince Dec 21, 2025 Accepting new patients

Locations

10515 W Markham St
Ste F1
Little Rock, AR 72205
Phone (501) 804-3107

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1245995398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SILVER CREEK DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE F1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052291",
            "telephone_number": "479-333-1811",
            "fax_number": "501-302-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2723 Foxcroft Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722276516",
            "country_code": "US",
            "telephone_number": "479-333-1811",
            "fax_number": "501-302-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "MICHAEL",
        "middle_name": "BROOKS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7485-C",
            "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 Aug 24, 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.