Individual provider Active NPI

Jennifer Lynn Embry, LCSW

  • Clinical Social Worker
  • Bryant, AR
National Provider Identifier
1396998910
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2307-C Issued in AR
Practice address
2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501
Phone
(501) 847-0081
Fax
(501) 847-6905
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 2307-C AR Primary

Addresses

Primary practice location

2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501

Mailing address

2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501
Phone (501) 847-0081

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
I20090701000627 AR Practitioner - Clinical Social Worker 4082765011 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spa City Counseling and Wellness Inc.Group PAC ID 0749771715, 9 clinicians
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians
Conway Counseling and Psychological Services PLLCGroup PAC ID 4183933781, 30 clinicians

Practice addresses (Care Compare)

135 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 781-3122

6834 Cantrell Rd
Suite 1066
Little Rock, AR 72207-4135
Phone (415) 360-3348

855 S German LN
Suite 1
Conway, AR 72034-6479
Phone (501) 358-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2307-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Jul 20, 2009 Accepting new patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Jul 20, 2009 Accepting new patients
Brightside Medical of Michigan PC CurrentSince Apr 1, 2025 Accepting new patients
Conway Counseling & Psychological Services, PLLC CurrentSince Aug 28, 2019 Accepting new patients
Spa City Counseling and Wellness Inc Clinical CurrentSince Dec 19, 2025 Accepting new patients

Locations

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

135 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 781-3122

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

6834 Cantrell Rd
Little Rock, AR 72207
Phone (501) 291-0420

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1396998910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "501-847-0081",
            "fax_number": "501-847-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "501-847-0081",
            "fax_number": "501-847-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2307-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.