Individual provider Active NPI

Beverly Christine Siegfried, LCSW

  • Clinical Social Worker
  • Mena, AR
National Provider Identifier
1255048914
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11985-C Issued in AR
Practice address
307 Cherry St
Mena, AR 71953-4382
Phone
(479) 394-5277
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 11985-M AR
Clinical Social Worker 1041C0700X 11985-C AR Primary

Addresses

Primary practice location

307 Cherry St
Mena, AR 71953-4382

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

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
I20250521000851 AR Practitioner - Clinical Social Worker 6103345392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11985-MARMDSocial Worker
11985-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center - Whole Health CurrentSince May 15, 2025 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc CurrentSince May 15, 2025 Accepting new patients

Locations

174 N Welsh Ave
Booneville, AR 72927
Phone (479) 675-3909

311 S Central St
Clarksville, AR 72830
Phone (479) 754-0277

418 S 17th St
Fort Smith, AR 72901
Phone (479) 478-6664

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490

3111 S 70th St
Fort Smith, AR 72903

307 Cherry St
Mena, AR 71953
Phone (479) 394-5277

415 S 6th St
Paris, AR 72855
Phone (479) 963-2140

2705 Oak Ln
#A
Van Buren, AR 72956
Phone (479) 474-8084

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1255048914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHERRY ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534382",
            "telephone_number": "479-394-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "BEVERLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "11985-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11985-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.