Active NPI
Felicia Sanders, LMSW
- Clinical Social Worker
- Melbourne, AR
National Provider Identifier
1275985566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8101-C
- Practice address
- 54 Tate Springs Rd
Melbourne, AR 72556-8633 - Phone
- (870) 368-5030
- Fax
- (870) 368-5032
- NPI assigned
- Jul 11, 2016
- Last updated
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8101-M | AR | |
| Social Worker | 104100000X | AR | ||
| Clinical Social Worker | 1041C0700X | 8101-C | AR | Primary |
Addresses
Primary practice location
54 Tate Springs Rd
Melbourne, AR 72556-8633
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
Other practice location 2
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone (479) 695-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8101-M | AR | MD | Social Worker |
| 8101-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1275985566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 TATE SPRINGS RD",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "725568633",
"telephone_number": "870-368-5030",
"fax_number": "870-368-5032"
}
],
"practiceLocations": [
{
"address_1": "4253 N Crossover Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727034593",
"country_code": "US",
"telephone_number": "479-521-5731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 W Sunbridge Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031822",
"country_code": "US",
"telephone_number": "479-695-1240",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "FELICIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "8101-M",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "8101-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.