Active NPI
Shared Families of Northwest Arkansas L.L.C.
- Clinical Social Worker
- Rogers, AR
National Provider Identifier
1679196992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SHARED FAMILIES OF NORTHWEST ARKANSAS L.L.C.
- Practice address
- 805 N 20TH PL Ste 1
Rogers, AR 72756-3571 - Phone
- (479) 274-8271
- Fax
- (888) 624-0137
- NPI assigned
- May 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Childs
- Title
- Owner
- Phone
- (479) 274-8271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
805 N 20TH PL Ste 1
Rogers, AR 72756-3571
Mailing address
401 N 8TH St # 997
Rogers, AR 72756-3761
Phone (479) 274-8271
National Provider Directory
National Provider DirectoryLocations
805 N 20th Pl
Ste 1
Rogers, AR 72756
Phone (479) 274-8271
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rogers, AR
- NPI 1992193361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1679196992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 8TH ST # 997",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563761",
"telephone_number": "479-274-8271",
"fax_number": "479-876-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N 20TH PL STE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563571",
"telephone_number": "479-274-8271",
"fax_number": "888-624-0137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARED FAMILIES OF NORTHWEST ARKANSAS L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A",
"authorized_official_last_name": "CHILDS",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-274-8271"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.