Active NPI
Emily Barnes
- Clinical Social Worker
- Fayetteville, AR
National Provider Identifier
1285214775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10269-C
- Practice address
- 60 W Sunbridge Dr
Fayetteville, AR 72703-1822 - Phone
- (479) 695-1240
- NPI assigned
- Apr 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10269-M | AR | |
| Clinical Social Worker | 1041C0700X | 10269-C | AR | Primary |
Addresses
Primary practice location
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264714795 | Medicaid | AR |
Other names 1
- Emily Thompson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10269-M | AR | MD | Social Worker |
| 10269-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1285214775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031822",
"telephone_number": "479-695-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "10269-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "10269-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264714795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "THOMPSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.