Healing House

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING HOUSE

Practice address

221 N East Ave Ste 207
Fayetteville, AR 72701-5226

Phone

(479) 777-2521

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Holly Skinner

Title

Credentialing Specialist

Phone

(501) 454-1664

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Rae Draper Mattelin, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1700251113
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1467110379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N EAST AVE STE 207",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N EAST AVE STE 207",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015226",
            "telephone_number": "479-777-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "501-454-1664"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin R Hayward, PA-C
• Genna Head
• Heal Your Body, LLC
• Karri Healey
• Healing Arts Medical Center PA
• Healing Spirit Therapies, LLC
• Healogics Specialty Physicians of Arkansas, PLLC
• Health Lanes LLC
• Logan Hearron, LCSW, PMH-C
• Heartland Wellness Collaborative

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.