Active NPI
Amy Jean Inman, LCSW
- Clinical Social Worker
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6582C
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6582C | Other | AR | LICENSE |
| 2017036045 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6582C | AR | MD | Clinical Social Worker |
| 2017036045 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Community Mental Health Center Inc | Current | 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 | Current | Accepting new patients | |
| The Guidance Center - Whole Health | Current | Accepting new patients | |
| Foundation: a Wellness Practice, LLC | Current | Accepting new patients | |
| The Guidance Center - Paris Clinic | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Affinity Relationship Coaching Inc | Clinical | Current | 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.
-
- Counselor
- Jonesboro, AR
- NPI 1750878203
-
dba Mid South Systems
- Community/Behavioral Health Agency
- Jonesboro, AR
- NPI 1336118207
-
dba The Guidance Center
- Community/Behavioral Health Agency
- Fort Smith, AR
- NPI 1326040692
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AR
-
dba Mid-South Health Systems
- Community/Behavioral Health Agency
- Forrest City, AR
- NPI 1558681254
-
dba Mid-South Health Systems Inc
- Family Medicine Physician
- Blytheville, AR
- NPI 1043885759
-
- Community/Behavioral Health Agency
- Paris, AR
- NPI 1801061205
-
dba The Guidance Center Primary Care
- Family Medicine Physician
- Fort Smith, AR
- NPI 1730787037
-
dba Piggott Discount Drug
- Community/Retail Pharmacy
- Piggott, AR
- NPI 1295740710
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.