Individual provider Active NPI

Elaine Marie Wilson, LCSWC

  • Clinical Social Worker
  • Sherwood, AR
National Provider Identifier
1346486834
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7802-C Issued in AR
Practice address
2300 Wildwood Ave Unit 6055
Sherwood, AR 72124-7999
Phone
(501) 599-7575
NPI assigned
Jan 5, 2009
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7802-C AR Primary

Addresses

Primary practice location

2300 Wildwood Ave Unit 6055
Sherwood, AR 72124-7999

Mailing address

2300 Wildwood Ave Unit 6055
Sherwood, AR 72124-7999
Phone (501) 599-7575

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

LicenseStateTypeSpecialty
7802-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beginwithin Clinical CurrentSince Mar 1, 2023 Accepting new patients
New Pathways Therapeutic Services, Inc. Past Accepting new patients

Locations

208 E Kiehl Ave
Ste 120
Sherwood, AR 72120

2300 Wildwood Ave
Unit 6055
Sherwood, AR 72124
Phone (501) 599-7575

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1346486834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WILDWOOD AVE UNIT 6055",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721247999",
            "telephone_number": "501-599-7575",
            "fax_number": "501-436-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WILDWOOD AVE UNIT 6055",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721247999",
            "telephone_number": "501-599-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7802-C",
            "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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.