Individual provider Active NPI

Carol Carle McFarlin, LMSW, LAADC

  • Social Worker
  • Jonesboro, AR
National Provider Identifier
1639411705
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6544M Issued in AR
Practice address
1217 Stone St
Jonesboro, AR 72401-4520
Phone
(870) 972-5565
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A311 AR
Social Worker 104100000X 6544M AR Primary

Addresses

Primary practice location

1217 Stone St
Jonesboro, AR 72401-4520

Mailing address

PO Box 652
Monette, AR 72447-0652

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201123002580 AR Practitioner - Clinical Social Worker 5294146270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Behavioral Health, LLCGroup PAC ID 6406280007, 6 clinicians

Practice addresses (Care Compare)

920 E Medical Dr
Manila, AR 72442-8416
Phone (870) 570-0358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A311ARMDAddiction (Substance Use Disorder) Counselor
6544MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Behavioral Health, LLC CurrentSince Nov 9, 2020 Accepting new patients

Locations

920 Medical Dr
Manila, AR 72442
Phone (870) 570-0358

Organizations & group practices 1

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1639411705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "MONETTE",
            "state": "AR",
            "postal_code": "724470652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014520",
            "telephone_number": "870-972-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLIN",
        "first_name": "CAROL",
        "middle_name": "CARLE",
        "credential": "LMSW, LAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "A311",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6544M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.