Individual provider Active NPI

Sky Marie Tapp, LCSW

  • Clinical Social Worker
  • Cabot, AR
National Provider Identifier
1366797474
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6686-C Issued in AR
Practice address
2120 W Main St Ste 5
Cabot, AR 72023-7442
Phone
(501) 615-4028
Fax
(833) 520-1539
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6686-M AR
Clinical Social Worker 1041C0700X 6686-C AR Primary

Addresses

Primary practice location

2120 W Main St Ste 5
Cabot, AR 72023-7442

Mailing address

32 Emerald Cir
Cabot, AR 72023-8176
Phone (501) 259-4723

Other names 1

  • Sky Collins Former name

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
I20231101000673 AR Practitioner - Clinical Social Worker 9638525595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6686-MARMDSocial Worker
6686-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover Counseling and Wellness, LLC Clinical CurrentSince Dec 13, 2022 Accepting new patients
Simple Soul Counseling Services LLC CurrentSince Sep 19, 2023 Accepting new patients

Locations

2120 W Main St
Ste 5
Cabot, AR 72023
Phone (501) 615-4028

121 N Main St
Harrison, AR 72601
Phone (870) 204-5640

303 W Newman Ave
Harrison, AR 72601
Phone (479) 318-2828

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1366797474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 EMERALD CIR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238176",
            "telephone_number": "501-259-4723",
            "fax_number": "833-520-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W MAIN ST STE 5",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237442",
            "telephone_number": "501-615-4028",
            "fax_number": "833-520-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "SKY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6686-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6686-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKY",
            "last_name": "COLLINS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.