Individual provider Active NPI

Rhonda Michele Barnes, L.C.S.W.

  • Clinical Social Worker
  • Greenwood, AR
National Provider Identifier
1366639684
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3171-C Issued in AR
Practice address
300 Westwood Ave
Greenwood, AR 72936
Phone
(479) 252-6891
Fax
(479) 996-7846
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2716-B AR
School Social Worker 1041S0200X 2716-B AR
Clinical Social Worker 1041C0700X 3171-C AR Primary

Addresses

Primary practice location

300 Westwood Ave
Greenwood, AR 72936

Mailing address

300 Westwood Ave
Greenwood, AR 72936-4921
Phone (479) 252-6891

Other practice location 1

1405 W Center St Ste 204
Greenwood, AR 72936-3410
Phone (479) 252-8424

Other identifiers 1

IdentifierTypeStateIssuer
190947795MedicaidAR

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3171-CARMDClinical Social Worker
2716-BARMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1366639684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WESTWOOD AVE",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364921",
            "telephone_number": "479-252-6891",
            "fax_number": "479-996-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WESTWOOD AVE",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "72936",
            "telephone_number": "479-252-6891",
            "fax_number": "479-996-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 W Center St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "AR",
            "postal_code": "729363410",
            "country_code": "US",
            "telephone_number": "479-252-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "RHONDA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2716-B",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AR",
            "license": "2716-B",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3171-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190947795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.