Tami Alicia Wollner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64963 Issued in TX

Practice address

2998 Shadow Crest LN
Springdale, AR 72762-7449

Phone

(253) 651-8222

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ozark Guidance Center, Inc

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1659945194
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1619032422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 SHADOW CREST LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627449",
            "telephone_number": "253-651-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 SHADOW CREST LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627449",
            "telephone_number": "253-651-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLNER",
        "first_name": "TAMI",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4892-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Reynolds Wisdom, PT
• Breanne Witherspoon, AUD
• Emily Nicole Witt, MSN, APRN, WHNP-BC
• Monica Wittschen, RN
• Elizabeth Wohlford, PA-C
• Eric L. Wood, D.M.D
• Jessica Wood
• Stephanie Anne Wood, LAC
• Donna Woodie
• Woodridge Northwest, LLC

• Clinical Social Worker in Springdale, AR
• Providers in Springdale, 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 Oct 31, 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.