Individual provider Active NPI

Brian O'Gary, LCSW

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1487039251
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7601-C Issued in AR
Practice address
201 W Broadway St Ste H
North Little Rock, AR 72114-5505
Phone
(612) 327-0059
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

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.

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
7601-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Benton, Inc. Past Accepting new patients
Rivendell Behavioral Health Services of Ar Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7601-C AR Primary

Addresses

NPPES NPI Registry

Primary practice location

201 W Broadway St Ste H
North Little Rock, AR 72114-5505

Mailing address

1305 S Spring St
Little Rock, AR 72202-4853
Phone (612) 327-0059

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2023.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1487039251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S SPRING ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024853",
            "telephone_number": "612-327-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY ST STE H",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145505",
            "telephone_number": "612-327-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GARY",
        "first_name": "BRIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7601-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.