Individual provider Active NPI

Heather Renee Morrow, LCSW

  • Clinical Social Worker
  • Benton, AR
National Provider Identifier
1477701787
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5035-C Issued in AR
Practice address
125 1/2 N. Market St.
Benton, AR 72015-3768
Phone
(870) 324-0271
Fax
(501) 847-6905
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5035-C AR Primary

Addresses

Primary practice location

125 1/2 N. Market St.
Benton, AR 72015-3768

Mailing address

1384 Martin Rd
Alexander, AR 72002-9665
Phone (870) 324-0271

Other names 1

  • Ms. Heather Renee Johnson Former name

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
I20140806001274 AR Practitioner - Clinical Social Worker 0042437519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dustin J Morrow LLCGroup PAC ID 2163876525, 3 clinicians

Practice addresses (Care Compare)

2213 N Reynolds Rd
Suite 26
Bryant, AR 72022-2581
Phone (501) 943-5930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5035-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dustin J Morrow LLC CurrentSince Aug 22, 2023 Accepting new patients

Locations

125 N Market St
Benton, AR 72015
Phone (501) 317-6007

2213 N Reynolds Rd
Ste 26
Bryant, AR 72022
Phone (501) 303-6108

Organizations & group practices 1

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1477701787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 MARTIN RD",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720029665",
            "telephone_number": "870-324-0271",
            "fax_number": "501-847-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 1/2 N. MARKET ST.",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153768",
            "telephone_number": "870-324-0271",
            "fax_number": "501-847-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5035-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JOHNSON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.