Active NPI
Ebony La'Nai Welch, LMSW
- Social Worker
- Sherwood, AR
National Provider Identifier
1306552567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11807-M
- Practice address
- 9140 Rapid Water Dr
Sherwood, AR 72120-2800 - Phone
- (773) 322-6444
- NPI assigned
- Jan 30, 2023
- 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 | 107356 | TX | |
| Social Worker | 104100000X | 11807-M | AR | Primary |
Addresses
Primary practice location
9140 Rapid Water Dr
Sherwood, AR 72120-2800
Mailing address
9140 Rapid Water Dr
Sherwood, AR 72120-2800
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 |
|---|---|---|---|
| 11807-M | AR | MD | Social Worker |
| 107356 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1306552567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 RAPID WATER DR",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721202800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 RAPID WATER DR",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721202800",
"telephone_number": "773-322-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "EBONY",
"middle_name": "LA'NAI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "107356",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "11807-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.