Individual provider Active NPI

Reba Byrd, LMSW

  • Social Worker
  • Fayetteville, AR
National Provider Identifier
1457739898
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7672-M Issued in AR
Practice address
4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone
(479) 443-6496
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7672-M AR Primary

Addresses

Primary practice location

4171 N Crossover Rd
Fayetteville, AR 72703-4591

Mailing address

4171 N Crossover Rd
Fayetteville, AR 72703-4591

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
I20220106001482 AR Practitioner - Clinical Social Worker 0345631073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cadence Counseling Services, PLLCGroup PAC ID 0941651525, 4 clinicians

Practice addresses (Care Compare)

417 W Maple Ave
Springdale, AR 72764-5333
Phone (479) 502-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7672-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nwa Christian Counseling Group, Inc. Dba Brookway Counseling CurrentSince Dec 20, 2021 Accepting new patients
Cadence Counseling Services, PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

417 W Maple Ave
Ste 108
Springdale, AR 72764
Phone (479) 502-4025

801 Carlton St
Springdale, AR 72762
Phone (479) 255-5414

417 W Maple Ave
Springdale, AR 72764
Phone (479) 502-4025

Organizations & group practices 2

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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1457739898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034591",
            "telephone_number": "479-443-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "REBA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7672-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.