Individual provider Active NPI

Shelia Denise Sanders, LMSW

  • Social Worker
  • Little Rock, AR
National Provider Identifier
1477702116
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2144-M Issued in AR
Practice address
6210 Baseline Rd
Little Rock, AR 72209-4728
Phone
(501) 265-0302
Fax
(501) 265-0300
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 2144-M AR Primary

Addresses

Primary practice location

6210 Baseline Rd
Little Rock, AR 72209-4728

Mailing address

4001 Commercial Center Dr Ste 2
Marion, AR 72364-9616
Phone (870) 732-7920

Other practice location 1

2707 Browns Ln
Jonesboro, AR 72401-7213
Phone (870) 972-4000

Other practice location 2

2707 Browns Ln
Jonesboro, AR 72401-7213
Phone (870) 972-4000

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
2144-MARMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1477702116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COMMERCIAL CENTER DR STE 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649616",
            "telephone_number": "870-732-7920",
            "fax_number": "870-732-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094728",
            "telephone_number": "501-265-0302",
            "fax_number": "501-265-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Browns Ln",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017213",
            "country_code": "US",
            "telephone_number": "870-972-4000",
            "fax_number": "870-972-4973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2707 Browns Ln",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017213",
            "country_code": "US",
            "telephone_number": "870-972-4000",
            "fax_number": "870-972-4973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHELIA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2144-M",
            "primary": true
        }
    ],
    "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 Jul 13, 2022; 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.