Active NPI
Tris L Middleton, LCSW
- Clinical Social Worker
- Springdale, AR
National Provider Identifier
1336338011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4958-C
- Practice address
- 3409 Elm Springs Rd Ste 1
Springdale, AR 72762-2754 - Phone
- (479) 435-5201
- NPI assigned
- Oct 18, 2007
- 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 | 4958-C | AR | Primary |
Addresses
Primary practice location
3409 Elm Springs Rd Ste 1
Springdale, AR 72762-2754
Mailing address
3409 Elm Springs Rd Ste 1
Springdale, AR 72762-2754
Phone (479) 435-5201
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 |
|---|---|---|---|
| 4958-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1336338011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 ELM SPRINGS RD STE 1",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727622754",
"telephone_number": "479-435-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 ELM SPRINGS RD STE 1",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727622754",
"telephone_number": "479-435-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "TRIS",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "4958-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.