Breanna Shoe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7968-C Issued in AR

Practice address

503 SE Lindsey St
Hoxie, AR 72433-2224

Phone

(870) 886-1333

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hometown Behavioral Health Services of Arkansas, Inc

  • Community/Behavioral Health Agency
  • Hoxie, AR
  • NPI 1629226931
  Medicare reassignment NPD
• Hometown Behavioral Health Services of Ak Inc.

  • Mental Health Counselor
  • Mountain Home, AR
  • NPI 1902372774

  Clinical

  NPD

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1487975538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724330299",
            "telephone_number": "870-886-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SE LINDSEY ST",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724332224",
            "telephone_number": "870-886-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOE",
        "first_name": "BREANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7968-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Price, CNP
• Deana Joy Quarry
• Keri L Ritter
• Bridget Russell
• Mary Eileen Sherrill
• Chelsea B Smith
• Mashae Snyder
• Krystal Spain
• Kaylee Stepp, RBT
• Sonya Faye Stocker

• Clinical Social Worker in Hoxie, AR
• Providers in Hoxie, 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 Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.