Organization Active NPI

Attachment Services of Arkansas

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1629583182
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3376-C Issued in AR
Legal business name
ATTACHMENT SERVICES OF ARKANSAS
Practice address
5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757
Phone
(501) 414-9141
Fax
(501) 904-4409
NPI assigned
Dec 6, 2017
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Cindy A Brown, LCSWNPI 1871994145
Title
Organizer
Phone
(501) 414-9141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3376-C AR Primary

Addresses

Primary practice location

5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757

Mailing address

217 Johnson St
Little Rock, AR 72205-5823
Phone (501) 414-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181116001855 AR Part B Supplier - Clinic/Group Practice 8123372778 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5800 Evergreen Dr
Ste G
Little Rock, AR 72205
Phone (501) 414-9141

4004 McCain Blvd
Ste 203
North Little Rock, AR 72116
Phone (501) 626-8279

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1629583182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JOHNSON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055823",
            "telephone_number": "501-414-9141",
            "fax_number": "501-904-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 EVERGREEN DR STE G",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051757",
            "telephone_number": "501-414-9141",
            "fax_number": "501-904-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTACHMENT SERVICES OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "501-414-9141",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3376-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.