Active NPI
Cynthia G Slaughter, LCSW
- Clinical Social Worker
- Star City, AR
National Provider Identifier
1326066853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-247
- Practice address
- 612 E Arkansas St
Star City, AR 71667-4842 - Phone
- (870) 628-4181
- Fax
- (870) 628-5369
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-247 | AR | Primary |
Addresses
Primary practice location
612 E Arkansas St
Star City, AR 71667-4842
Mailing address
2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00185236 | Medicaid | AR | |
| 5S052 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Cindy G Glover
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-247 | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Counseling Associates Inc | Past | Accepting new patients | |
| Southeast Arkansas Behavioral Healthcare System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Monticello, AR
- NPI 1053364612
-
- Community/Behavioral Health Agency
- Star City, AR
- NPI 1235384009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1326066853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RIKE DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716033937",
"telephone_number": "870-534-1834",
"fax_number": "870-534-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E ARKANSAS ST",
"city": "STAR CITY",
"state": "AR",
"postal_code": "716674842",
"telephone_number": "870-628-4181",
"fax_number": "870-628-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "CYNTHIA",
"middle_name": "G",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "C-247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P00185236",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5S052",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "GLOVER",
"middle_name": "G",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Star City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.