Individual provider Active NPI

Amy Floyd, LCSW

  • Clinical Social Worker
  • Portland, AR
National Provider Identifier
1396074886
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2509-C Issued in AR
Practice address
233 North Main
Portland, AR 71663
Phone
(870) 737-2221
Fax
(870) 737-4337
NPI assigned
Dec 14, 2009
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 2509-C AR Primary

Addresses

Primary practice location

233 North Main
Portland, AR 71663

Mailing address

PO Box 509
Dermott, AR 71638-0509
Phone (870) 538-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160805001552 AR Practitioner - Clinical Social Worker 3779877279 Reassigns benefits to 1 organization
I20210312000713 LA Practitioner - Clinical Social Worker 3779877279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

451 E Madison Ave
Bastrop, LA 71220-3829
Phone (318) 283-0868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2509-CARMDClinical Social Worker
16309LAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Delta Human Services Authority CurrentSince Dec 11, 2020 Accepting new patients
Northeast Delta Human Services Authority CurrentSince Dec 11, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

451 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-0868

5159 Highway 4 E
Columbia, LA 71418
Phone (318) 649-2333

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

901 White St
Ruston, LA 71270
Phone (318) 251-4150

1012 Johnson St
Tallulah, LA 71282
Phone (318) 574-1713

Organizations & group practices 3

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1396074886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380509",
            "telephone_number": "870-538-5414",
            "fax_number": "870-538-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NORTH MAIN",
            "city": "PORTLAND",
            "state": "AR",
            "postal_code": "71663",
            "telephone_number": "870-737-2221",
            "fax_number": "870-737-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2509-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, AR

Sources for this page

Verify at the official NPI Registry.