Organization Active NPI

Restoring Hope Consulting and Social Work, P.a.

  • Clinical Social Worker
  • Dardanelle, AR
National Provider Identifier
1306186382
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5873-C Issued in AR
Legal business name
RESTORING HOPE CONSULTING AND SOCIAL WORK, P.A.
Practice address
116 S Front St
Dardanelle, AR 72834-4028
Phone
(479) 647-9728
Fax
(866) 389-8845
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Rebekah Taylor, LCSWNPI 1932351756
Title
Owner/Therapist
Phone
(479) 647-9728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5873-C AR Primary

Addresses

Primary practice location

116 S Front St
Dardanelle, AR 72834-4028

Mailing address

PO Box 2074
Russellville, AR 72811-2074
Phone (479) 647-9728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119000705 AR Part B Supplier - Clinic/Group Practice 6709189186 Receives reassigned benefits from 1 practitioner
Practice locations: Dardanelle, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1306186382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728112074",
            "telephone_number": "479-647-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S FRONT ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728344028",
            "telephone_number": "479-647-9728",
            "fax_number": "866-389-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING HOPE CONSULTING AND SOCIAL WORK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-647-9728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5873-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.