Active NPI
Marla Raylene Lamb, LCSW
- Clinical Social Worker
- Harrison, AR
National Provider Identifier
1639300965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7426-C
- Practice address
- 117 Sawgrass PT
Harrison, AR 72601 - Phone
- (870) 204-7488
- Fax
- (870) 750-4843
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2009022371 | MO | |
| Clinical Social Worker | 1041C0700X | 7426-C | AR | Primary |
Addresses
Primary practice location
117 Sawgrass PT
Harrison, AR 72601
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other practice location 1
208 Highway 62 W
Berryville, AR 72616-8872
Phone (870) 423-2758
Other practice location 2
208 Highway 62 W
Berryville, AR 72616-8872
Phone (870) 423-2758
Other practice location 3
1104 N College St
Huntsville, AR 72740-9672
Phone (479) 738-2878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009022371 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1639300965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020",
"fax_number": "479-750-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SAWGRASS PT",
"city": "HARRISON",
"state": "AR",
"postal_code": "72601",
"telephone_number": "870-204-7488",
"fax_number": "870-750-4843"
}
],
"practiceLocations": [
{
"address_1": "208 Highway 62 W",
"address_purpose": "LOCATION",
"city": "Berryville",
"state": "AR",
"postal_code": "726168872",
"country_code": "US",
"telephone_number": "870-423-2758",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Highway 62 W",
"address_purpose": "LOCATION",
"city": "Berryville",
"state": "AR",
"postal_code": "726168872",
"country_code": "US",
"telephone_number": "870-423-2758",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1104 N College St",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AR",
"postal_code": "727409672",
"country_code": "US",
"telephone_number": "479-738-2878",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMB",
"first_name": "MARLA",
"middle_name": "RAYLENE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2009022371",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7426-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.