Individual provider Active NPI

Nancy Anne Milbourn, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1356307953
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
494-C Issued in AR
Practice address
5019 Woodlawn Dr
Little Rock, AR 72205-3627
Phone
(501) 681-0567
Fax
(844) 274-3173
NPI assigned
Apr 22, 2006
Last updated
Feb 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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 494-C AR Primary

Addresses

Primary practice location

5019 Woodlawn Dr
Little Rock, AR 72205-3627

Mailing address

5019 Woodlawn Dr
Little Rock, AR 72205-3627
Phone (501) 681-0567

Other names 1

  • Nancy Anne Milbourn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Payton Oaks PL SE
Gurley, AL 35748-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
494-CARMDClinical Social Worker

Organizations & group practices 1

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1356307953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 WOODLAWN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053627",
            "telephone_number": "501-681-0567",
            "fax_number": "844-274-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 WOODLAWN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053627",
            "telephone_number": "501-681-0567",
            "fax_number": "844-274-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBOURN",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "494-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MILBOURN",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.