Individual provider Active NPI

Tammy Jones, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1417286691
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4546C Issued in AR
Practice address
1747 N College Ave Ste 2
Fayetteville, AR 72703-2606
Phone
(479) 841-7526
Fax
(479) 844-9755
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 4546C AR Primary

Addresses

Primary practice location

1747 N College Ave Ste 2
Fayetteville, AR 72703-2606

Mailing address

PO Box 8483
Fayetteville, AR 72703-0009
Phone (479) 244-2978

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4546CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Futures LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients

Locations

1747 N College Ave
Ste 2
Fayetteville, AR 72703
Phone (479) 841-7526

1747 N College Ave
Ste A
Fayetteville, AR 72703
Phone (479) 208-7214

1747 N College Ave
Fayetteville, AR 72703
Phone (479) 208-7214

Organizations & group practices 1

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1417286691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8483",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030009",
            "telephone_number": "479-244-2978",
            "fax_number": "479-844-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 N COLLEGE AVE STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032606",
            "telephone_number": "479-841-7526",
            "fax_number": "479-844-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4546C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.