Individual provider Active NPI

Barbara K Ackeret-Smith, LCSW

  • Clinical Social Worker
  • Imboden, AR
National Provider Identifier
1356458269
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
891-C Issued in AR
Practice address
609 W 3Rd St
Imboden, AR 72434-9099
Phone
(870) 869-1500
NPI assigned
Aug 24, 2006
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 891-C AR Primary

Addresses

Primary practice location

609 W 3Rd St
Imboden, AR 72434-9099

Mailing address

503 SE Lindsey St
Hoxie, AR 72433-2224
Phone (870) 869-1500

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
I20040511000427 AR Practitioner - Clinical Social Worker 8123017530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karen Hall, LCSW, PAGroup PAC ID 5092058537, 12 clinicians

Practice addresses (Care Compare)

1905 Chateau Blvd
Suite B
Paragould, AR 72450-6279
Phone (870) 236-2265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Behavioral Health Services of Arkansas, Inc CurrentSince Jan 28, 2019 Accepting new patients
Life Strategies of Arkansas, LLC CurrentSince Oct 25, 2022 Accepting new patients
Karen Hall, LCSW, PA CurrentSince Jul 12, 2021 Accepting new patients
Hometown Behavioral Health Services of Ar Inc. Clinical CurrentSince Jan 28, 2019 Accepting new patients
TDS Psychiatric Services L.L.C. PastSince Sep 12, 2018 Accepting new patients

Locations

503 SE Lindsey St
Hoxie, AR 72433
Phone (870) 886-1333

1905 Chateau Blvd
Paragould, AR 72450
Phone (870) 236-2265

1905 Chateau Blvd
Ste B
Paragould, AR 72450
Phone (870) 236-2265

103 S Avalon St
West Memphis, AR 72301
Phone (870) 394-9936

Organizations & group practices 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1356458269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SE LINDSEY ST",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724332224",
            "telephone_number": "870-869-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 3RD ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349099",
            "telephone_number": "870-869-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERET-SMITH",
        "first_name": "BARBARA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "891-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imboden, AR

Sources for this page

Verify at the official NPI Registry.