Individual provider Active NPI

Sandra Smith Worlow, LCSW

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1265404859
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1598-C Issued in AR
Practice address
517 N 14TH St Ste 4
Paragould, AR 72450-3550
Phone
(870) 365-3881
Fax
(870) 569-3026
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 1598C AR
Clinical Social Worker 1041C0700X 1598-C AR Primary

Addresses

Primary practice location

517 N 14TH St Ste 4
Paragould, AR 72450-3550

Mailing address

517 N 14TH St Ste 4
Paragould, AR 72450-3550
Phone (870) 365-3881

Other identifiers 2

IdentifierTypeStateIssuer
5W387OtherARBCBS
173194795MedicaidAR

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
I20070306000460 AR Practitioner - Clinical Social Worker 7315040797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karen Hall, LCSW, PAGroup PAC ID 5092058537, 12 clinicians

Practice addresses (Care Compare)

1905 Chateau Blvd
Suite B
Paragould, AR 72450-6279
Phone (870) 236-2265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1598CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Hall, LCSW, PA CurrentSince Jul 8, 2024 Accepting new patients
Families, Inc. of Arkansas Past Accepting new patients
TDS Psychiatric Services L.L.C. PastSince Sep 12, 2018 Accepting new patients
Families, Inc. of Arkansas Past Accepting new patients
Methodist Le Bonheur Healthcare Eap PastSince Nov 1, 2020 Accepting new patients

Locations

1905 Chateau Blvd
Ste B
Paragould, AR 72450
Phone (870) 236-2265

1905 Chateau Blvd
Paragould, AR 72450
Phone (870) 236-2265

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265404859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N 14TH ST STE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503550",
            "telephone_number": "870-365-3881",
            "fax_number": "870-569-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N 14TH ST STE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503550",
            "telephone_number": "870-365-3881",
            "fax_number": "870-569-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLOW",
        "first_name": "SANDRA",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1598C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1598-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W387",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173194795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.