Hannah Booth, LCSW
Individual provider Active NPI Clinical Social Worker · Cherry Valley, AR
NPI 1447740915 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1447740915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2624 Highway 42
Cherry Valley, AR 72324-8674 - Phone
- (870) 442-2040
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220521000129 | AR | Practitioner - Clinical Social Worker | 7012394539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current |
Accepting new patients | |
| Arisa Health, Inc. | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arisa Health, Inc. | Clinical | Current | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
2624 Highway 42
Cherry Valley, AR 72324
Phone (870) 442-2040
2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000
2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115
661 Addison Dr
Wynne, AR 72396
Phone (870) 238-1135
Interoperability endpoints
- hannah.booth@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes | ||
| Case Manager/Care Coordinator | 171M00000X | AR |
Addresses
Primary practice location
2624 Highway 42
Cherry Valley, AR 72324-8674
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other providers in Cherry Valley, AR
- Arcare
- Arcare
- Erin Caldwell
- Ethel Clyburn
- Cross County School District #7
- Larry Jamieson
- Kennedy Therapy Services
All providers in Cherry Valley, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.