Individual provider Active NPI

Tameka L Lancaster, LCSW, LADAC

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1558588590
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1890-C Issued in AR
Practice address
900 S Shackleford Rd Ste 30
Little Rock, AR 72211-3817
Phone
(501) 251-8330
Fax
(501) 246-8484
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1890-C AR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0239 L AR

Addresses

Primary practice location

900 S Shackleford Rd Ste 30
Little Rock, AR 72211-3817

Mailing address

900 S Shackleford Rd Ste 30
Little Rock, AR 72211-3817
Phone (501) 251-8330

Other identifiers 1

IdentifierTypeStateIssuer
158863719MedicaidAR

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
I20120727000136 AR Practitioner - Clinical Social Worker 2264698711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Rahling Rd
Apt 1404
Little Rock, AR 72223-5269
Phone (501) 251-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0239 LARMDAddiction (Substance Use Disorder) Counselor
1890-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tameka Lancaster, LCSW, Ladac, LLC CurrentSince Feb 23, 2015 Accepting new patients

Locations

11415 Huron Ln
#25521
Little Rock, AR 72211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1558588590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113817",
            "telephone_number": "501-251-8330",
            "fax_number": "501-246-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113817",
            "telephone_number": "501-251-8330",
            "fax_number": "501-246-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "TAMEKA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LCSW, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1890-C",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "0239 L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158863719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.