Individual provider Active NPI

Caisa Gracie, LMSW

  • Clinical Social Worker
  • Springdale, AR
National Provider Identifier
1679356604
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13055-M Issued in AR
Practice address
3623 Johnson Mill Blvd
Suite 103
Springdale, AR 72762-6412
Phone
(479) 435-4207
Fax
(479) 935-3180
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 13055-M AR Primary
Social Worker 104100000X PLMSW AR

Addresses

Primary practice location

3623 Johnson Mill Blvd
Suite 103
Springdale, AR 72762-6412

Mailing address

PO Box 9541
Fayetteville, AR 72703-0028
Phone (479) 435-4207

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650 ext. 1425

Other identifiers 1

IdentifierTypeStateIssuer
306062795MedicaidAR

Other names 1

  • Caisa Doyle Former name

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
I20260408000089 AR Practitioner - Clinical Social Worker 9032684063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3623 Johnson Mill Blvd
Suite 103
Springdale, AR 72762-6328

PO Box
Suite 9541
Fayetteville, AR 72703-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13055-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eason Counseling and Associates, LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1679356604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9541",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030028",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 JOHNSON MILL BLVD",
            "address_2": "SUITE 103",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626412",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650 x1425",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACIE",
        "first_name": "CAISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "13055-M",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "PLMSW",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306062795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAISA",
            "last_name": "DOYLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.