Active NPI
Restoring Hope Consulting and Social Work, P.a.
- Clinical Social Worker
- Dardanelle, AR
National Provider Identifier
1306186382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5873-C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Taylor, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160119000705 | AR | Part B Supplier - Clinic/Group Practice | 6709189186 |
Receives reassigned benefits from 1 practitioner Practice locations: Dardanelle, AR |
National Provider Directory
National Provider DirectoryPractitioners & 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.