Individual provider Active NPI

Michael Anthony Gerardo, LCSW

  • Clinical Social Worker
  • Springdale, AR
National Provider Identifier
1356149488
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12254-C Issued in AR
Practice address
801 Carlton St
Springdale, AR 72762-5105
Phone
(479) 255-5414
NPI assigned
Mar 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107932 TX
Clinical Social Worker 1041C0700X 12254-C AR Primary

Addresses

Primary practice location

801 Carlton St
Springdale, AR 72762-5105

Mailing address

4044 Stonehenge Ave
Springdale, AR 72764-6780
Phone (817) 707-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516000990 AR Practitioner - Clinical Social Worker 9931627635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Arkansas College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cadence Counseling Services, PLLCGroup PAC ID 0941651525, 4 clinicians

Practice addresses (Care Compare)

417 W Maple Ave
Springdale, AR 72764-5333
Phone (479) 502-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107932TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cadence Counseling Services, PLLC Clinical CurrentSince Apr 29, 2025 Accepting new patients
Nwa Christian Counseling Group, Inc. Dba Brookway Counseling Clinical CurrentSince Mar 14, 2025 Accepting new patients

Locations

417 W Maple Ave
Ste 108
Springdale, AR 72764
Phone (479) 502-4025

801 Carlton St
Springdale, AR 72762
Phone (479) 255-5414

417 W Maple Ave
Springdale, AR 72764
Phone (479) 502-4025

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.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1356149488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 STONEHENGE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646780",
            "telephone_number": "817-707-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CARLTON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625105",
            "telephone_number": "479-255-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107932",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12254-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.