Individual provider Active NPI

Hannah Booth, LCSW

  • Clinical Social Worker
  • Cherry Valley, AR
National Provider Identifier
1447740915
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2624 Highway 42
Cherry Valley, AR 72324-8674
Phone
(870) 442-2040
NPI assigned
May 10, 2018
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
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

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
I20220521000129 AR Practitioner - Clinical Social Worker 7012394539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Jul 17, 2023 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. Clinical Current Accepting new patients
Arcare CurrentSince Jul 17, 2023 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

  • Direct secure messaging: hannah.booth@arcare.directbygreenway.com

Organizations & group practices 4

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1447740915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 HIGHWAY 42",
            "city": "CHERRY VALLEY",
            "state": "AR",
            "postal_code": "723248674",
            "telephone_number": "870-442-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Valley, AR

Sources for this page

Verify at the official NPI Registry.