NPIMap

Organization Active NPI

Riverstone Wellness Center, PLLC

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1265897946
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6156-C Issued in AR
Legal business name
RIVERSTONE WELLNESS CENTER, PLLC
Practice address
5905 Forest PL
Suite 230
Little Rock, AR 72207-5244
Phone
(501) 777-3200
NPI assigned
Dec 22, 2015
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Elizabeth G. G. White, LCSW
Title
Owner
Phone
(501) 777-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6156-C AR Primary

Addresses

Primary practice location

5905 Forest PL
Suite 230
Little Rock, AR 72207-5244

Mailing address

5905 Forest PL
Suite 230
Little Rock, AR 72207-5244
Phone (501) 777-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503000338 AR Part B Supplier - Clinic/Group Practice 9133538275 Receives reassigned benefits from 9 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5905 Forest Pl
Ste 230
Little Rock, AR 72207
Phone (501) 777-3200

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1265897946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL",
            "address_2": "SUITE 230",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075244",
            "telephone_number": "501-777-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL",
            "address_2": "SUITE 230",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075244",
            "telephone_number": "501-777-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ELIZABETH G.",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-777-3200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6156-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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.