Angelia Michelle Frazier-Henson, LMSW
Individual provider Active NPI Social Worker · Sheridan, AR
NPI 1346501624 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1346501624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3397-M (AR)
- Practice address
- 201 S Rose St
Sheridan, AR 72150-2451 - Phone
- (870) 917-2171
- Fax
- (870) 917-2161
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dustin J Morrow LLC
Practice addresses (Care Compare)
2213 N Reynolds Rd
Suite 26
Bryant, AR 72022-2581
Phone (501) 943-5930
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630002018 | AR | Practitioner - Clinical Social Worker | 5597166348 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3397-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Telepsychiatry - Arkansas | Current |
Accepting new patients | |
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Dustin J Morrow LLC | Current |
Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital | Past | Accepting new patients |
Locations
2213 N Reynolds Rd
Ste 26
Bryant, AR 72022
Phone (501) 303-6108
4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3397-M | AR | Yes |
Addresses
Primary practice location
201 S Rose St
Sheridan, AR 72150-2451
Mailing address
201 S Rose St
Sheridan, AR 72150-2451
Phone (870) 917-2171
Other names
- Angelia Michelle Buford
Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.