Active NPI
Sankofa Consulting and Counseling Services LLC
- Clinical Social Worker
- Conway, AR
National Provider Identifier
1306480942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SANKOFA CONSULTING AND COUNSELING SERVICES LLC
- Practice address
- 2223 Washington Ave Ste C
Conway, AR 72032-2765 - Phone
- (501) 339-3860
- Fax
- (833) 653-6333
- NPI assigned
- Nov 6, 2019
- 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
- Ms. Candace Baker
- Title
- Owner/Provider
- Phone
- (501) 339-3860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2223 Washington Ave Ste C
Conway, AR 72032-2765
Mailing address
PO Box 3
Menifee, AR 72107-0003
Phone (501) 339-3860
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1306480942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "MENIFEE",
"state": "AR",
"postal_code": "721070003",
"telephone_number": "501-339-3860",
"fax_number": "833-653-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 WASHINGTON AVE STE C",
"city": "CONWAY",
"state": "AR",
"postal_code": "720322765",
"telephone_number": "501-339-3860",
"fax_number": "833-653-6333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANKOFA CONSULTING AND COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-06",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "501-339-3860",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.