William M Leatherwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4692C Issued in AR

Practice address

533 W Washington Ave
Jonesboro, AR 72401-2782

Phone

(870) 229-0302

Fax

(870) 520-6482

NPI assigned

May 22, 2014

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Foundation a Wellness Practice, LLCGroup PAC ID 2668718172, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Foundation: a Wellness Practice, LLC

  • Counselor
  • Jonesboro, AR
  • NPI 1750878203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1619389871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012782",
            "telephone_number": "870-897-6346",
            "fax_number": "870-520-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012782",
            "telephone_number": "870-229-0302",
            "fax_number": "870-520-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERWOOD",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4692C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layton Eye Clinic, P.a.
• Eric Kye Layton, O.D.
• Robert Aaron League
• Brandi Leaks, MHPP
• Leap Therapy Solutions, LLC
• Cynthia Lebow
• Matthew L Ledden, CRNA
• Lee Andrew St Pierre (Northeast Arkansas Eye Care Center)
• Lee P.Woodruff DPM, P.a.
• Alexis Lee, APRN

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, 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 Jan 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.