Nwa Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2292-C Issued in AR

Legal business name

NWA THERAPY

Practice address

2592 N Gregg Ave, Suite 10
Fayetteville, AR 72703-5520

Phone

(479) 790-2324

Fax

(888) 965-6911

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Chantal Aimee Carter, LCSW, LADAC, CEDSNPI 1477713659

Title

Owner/Therapist

Phone

(479) 790-2324

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantal Aimee Carter, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1477713659
  NPD Authorized official

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1649779422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE, SUITE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035520",
            "telephone_number": "479-790-2324",
            "fax_number": "888-965-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE, SUITE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035520",
            "telephone_number": "479-790-2324",
            "fax_number": "888-965-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_middle_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-790-2324",
        "authorized_official_credential": "LCSW, LADAC, CEDS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2292-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwa Family Enterprises, LLC (SYNERGY HomeCare)
• Nwa Orthopaedic Consulting, PA (The Shoulder Center of Arkansas)
• Nwa Orthospine Rehab Services Inc
• Nwa Spine and Orthopaedic
• Nwa Surgeon Investors, LLC (Physicians' MRI)
• Constance Nwaogu
• Joseph R O'Connell, MD
• Michalah O'Connell
• Amber O'Dell
• Abigail O'Malley

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.