Individual provider Active NPI

Amy Jean Inman, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1639427099
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6582C Issued in AR
Practice address
533 W Washington Ave
Jonesboro, AR 72401-2782
Phone
(870) 972-4939
Fax
(870) 972-4911
NPI assigned
Aug 16, 2012
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017036045 MO
Clinical Social Worker 1041C0700X 6582C AR Primary

Addresses

Primary practice location

533 W Washington Ave
Jonesboro, AR 72401-2782

Mailing address

2012 State Highway F
Steele, MO 63877-8125
Phone (870) 838-5420

Other practice location 1

103 S Main St Ste 2
Kennett, MO 63857-3039
Phone (870) 838-5420

Other identifiers 2

IdentifierTypeStateIssuer
6582COtherARLICENSE
2017036045OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180301001142 MO Practitioner - Clinical Social Worker 8426319716 Reassigns benefits to 1 organization
I20180501000207 AR Practitioner - Clinical Social Worker 8426319716 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6582CARMDClinical Social Worker
2017036045MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Mar 24, 2018 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Northeast Arkansas Community Mental Health Center CurrentSince Mar 24, 2018 Accepting new patients
The Guidance Center - Whole Health CurrentSince Aug 2, 2021 Accepting new patients
Foundation: a Wellness Practice, LLC CurrentSince Mar 28, 2024 Accepting new patients
The Guidance Center - Paris Clinic CurrentSince Aug 2, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Affinity Relationship Coaching Inc Clinical CurrentSince Aug 1, 2022 Accepting new patients
Larrys Apothecary Inc Pggot Discount Drugs Past Accepting new patients

Locations

209 S Lockard St
Blytheville, AR 72315
Phone (870) 763-2139

402 W Elm St
Corning, AR 72422
Phone (870) 324-5122

3111 S 70th St
Fort Smith, AR 72903

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

533 W Washington Ave
Jonesboro, AR 72401
Phone (870) 229-0302

175 N 3rd Ave
Piggott, AR 72454
Phone (870) 598-5353

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

103 S Main St
Ste 2
Kennett, MO 63857
Phone (573) 714-4746

103 S Main St
Ste 3
Kennett, MO 63857
Phone (573) 840-0440

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1639427099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 STATE HIGHWAY F",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638778125",
            "telephone_number": "870-838-5420"
        },
        {
            "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": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638573039",
            "country_code": "US",
            "telephone_number": "870-838-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INMAN",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017036045",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6582C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6582C",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2017036045",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.