Mary Musser

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2134-C Issued in AR

Practice address

3358 S 2ND St Ste a-C
Cabot, AR 72023-7873

Phone

(501) 286-6053

Fax

(501) 286-6090

NPI assigned

Mar 7, 2007

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Longboat Musser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1255461356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FOREST HOME RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015320",
            "telephone_number": "866-972-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 S 2ND ST STE A-C",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237873",
            "telephone_number": "501-286-6053",
            "fax_number": "501-286-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3358 S 2nd St Ste D",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720237876",
            "country_code": "US",
            "telephone_number": "501-286-6053",
            "fax_number": "501-286-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSER",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2134-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229797719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LONGBOAT MUSSER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Moya
• Katharine Marie Mullins
• Ryan Michael Murphy, M.S. LPC
• Erin Musgrave
• Kaitlyn Music
• Cheska Nicole Neal
• Charles Keith Neaville III
• Tiffany Nelson-Jones
• Michael R Nelson, MS., LPC, NCC
• Racheal Nelson, PHARM-D

• Clinical Social Worker in Cabot, AR
• Providers in Cabot, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.