Individual provider Active NPI

Heidi Anna Gillmore, LCSW

  • Clinical Social Worker
  • Batesville, AR
National Provider Identifier
1356286777
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12887-C Issued in AR
Practice address
2230 Harrison St
Batesville, AR 72501-7417
Phone
(870) 698-2100
Fax
(870) 698-0109
NPI assigned
Apr 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 12887-C AR Primary

Addresses

Primary practice location

2230 Harrison St
Batesville, AR 72501-7417

Mailing address

2230 Harrison St
Batesville, AR 72501-7417
Phone (870) 698-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Harrison St
Batesville, AR 72501-7397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12887-CARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1356286777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017417",
            "telephone_number": "870-698-2100",
            "fax_number": "870-698-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017417",
            "telephone_number": "870-698-2100",
            "fax_number": "870-698-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMORE",
        "first_name": "HEIDI",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12887-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.