Individual provider Active NPI

Lanell Renee Amanda Barton, LCSW, MSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1255841599
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10095C Issued in AR
Practice address
353 E 8TH St
Mountain Home, AR 72653-4423
Phone
(870) 701-5141
Fax
(870) 701-5177
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10095C AR Primary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 2020008097 MO

Addresses

Primary practice location

353 E 8TH St
Mountain Home, AR 72653-4423

Mailing address

313 N McMillan St
Mountain Grove, MO 65711-1522
Phone (417) 349-0673

Other practice location 1

313 N McMillan St
Mountain Grove, MO 65711-1522
Phone (417) 349-0673

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
I20200717002088 AR Practitioner - Clinical Social Worker 0446674840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

353 E 8TH St
Mountain Home, AR 72653-4423
Phone (870) 701-5141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10095CARMDClinical Social Worker
2020008097MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Behavioral Health Services of Ak Inc. Clinical CurrentSince Jul 9, 2020 Accepting new patients
Hometown Behavioral Health Services of Arkansas, Inc Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

503 SE Lindsey St
Hoxie, AR 72433
Phone (870) 886-1333

353 E 8th St
Mountain Home, AR 72653
Phone (870) 425-3125

Organizations & group practices 3

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": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1255841599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MCMILLAN ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111522",
            "telephone_number": "417-349-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 8TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534423",
            "telephone_number": "870-701-5141",
            "fax_number": "870-701-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 N McMillan St",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111522",
            "country_code": "US",
            "telephone_number": "417-349-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "LANELL RENEE",
        "middle_name": "AMANDA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10095C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020008097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.