Individual provider Active NPI

Clarissa Antonette Johnson Earnest, LCSW

  • Social Worker
  • Little Rock, AR
National Provider Identifier
1457850265
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8822-C Issued in AR
Practice address
204 Executive CT Ste 110
Little Rock, AR 72205-4531
Phone
(501) 416-5263
Fax
(501) 725-8952
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8822-C AR Primary
Social Worker 104100000X 8822-M AR

Addresses

Primary practice location

204 Executive CT Ste 110
Little Rock, AR 72205-4531

Mailing address

204 Executive CT Ste 110
Little Rock, AR 72205-4531
Phone (501) 504-4740

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8822-CARMDSocial Worker
8822-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Center LLC Past Accepting new patients
Professional Counseling Associates Inc. PastSince Jan 31, 2011 Accepting new patients

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1457850265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054531",
            "telephone_number": "501-504-4740",
            "fax_number": "501-725-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054531",
            "telephone_number": "501-416-5263",
            "fax_number": "501-725-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "CLARISSA",
        "middle_name": "ANTONETTE JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8822-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8822-M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.