Individual provider Active NPI

Anthony J Valentine, LCSW

  • Clinical Social Worker
  • Marianna, AR
National Provider Identifier
1619270519
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7314-C Issued in AR
Practice address
444 Atkins Blvd
Marianna, AR 72360-2110
Phone
(870) 295-4050
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7314-C AR Primary

Addresses

Primary practice location

444 Atkins Blvd
Marianna, AR 72360-2110

Mailing address

444 Atkins Blvd
Marianna, AR 72360-2110
Phone (870) 295-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171026003069 AR Practitioner - Clinical Social Worker 8729354345 Reassigns benefits to 3 organizations
I20231114003012 WA Practitioner - Clinical Social Worker 8729354345 Reassigns benefits to 1 organization
I20231115002795 OR Practitioner - Clinical Social Worker 8729354345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

19075 NW Tanasbourne Dr
Hillsboro, OR 97124-5860
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Nov 16, 2020 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 23, 2023 Accepting new patients
Counseling Clinic, Inc. CurrentSince Oct 12, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 23, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 23, 2023 Accepting new patients
Counseling Clinic, Inc Clinical CurrentSince Oct 12, 2017 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Nov 16, 2020 Accepting new patients

Locations

110 Pearson
Benton, AR 72015
Phone (501) 315-4224

310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

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

1615 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-5236

444 Atkins Blvd
Marianna, AR 72360
Phone (870) 270-7698

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1619270519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602110",
            "telephone_number": "870-295-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602110",
            "telephone_number": "870-295-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7314-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, AR

Sources for this page

Verify at the official NPI Registry.