Active NPI
Nancy Milbourn, LCSW, PA
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1316206543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C494
- Legal business name
- NANCY MILBOURN, LCSW, PA
- Practice address
- 5019 Woodlawn Dr
Little Rock, AR 72205-3627 - Phone
- (501) 681-0567
- Fax
- (844) 274-3173
- NPI assigned
- May 8, 2012
- Last updated
- Feb 15, 2016
- 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
- Nancy Anne Milbourn, LCSW
- Title
- President
- Phone
- (501) 681-0567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C494 | AR | Primary |
Addresses
Primary practice location
5019 Woodlawn Dr
Little Rock, AR 72205-3627
Mailing address
5019 Woodlawn Dr
Little Rock, AR 72205-3627
Phone (501) 681-0567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5S136 | Other | AR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250903004242 | AL | Part B Supplier - Clinic/Group Practice | 3274796586 | Practice locations: Gurley, AL |
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, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Little Rock, AR
- NPI 1356307953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1316206543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5019 WOODLAWN DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053627",
"telephone_number": "501-681-0567",
"fax_number": "844-274-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5019 WOODLAWN DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053627",
"telephone_number": "501-681-0567",
"fax_number": "844-274-3173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY MILBOURN, LCSW, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "MILBOURN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-681-0567",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "C494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "5S136",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.