Angela St. Pierre, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1651C Issued in AR

Practice address

304 Southwest SQ
Jonesboro, AR 72401-5984

Phone

(870) 203-6085

NPI assigned

Mar 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Foundation a Wellness Practice, LLCGroup PAC ID 2668718172, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foundation: a Wellness Practice, LLC

  • Counselor
  • Jonesboro, AR
  • NPI 1750878203

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nea Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Jonesboro, AR
  • NPI 1235542150

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1689176836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PEBBLE BEACH DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046824",
            "telephone_number": "870-931-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015984",
            "telephone_number": "870-203-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1651C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1651-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Bernards Inc.
• St. Bernards Orthopedic Associates, Inc.
• St. Bernards Urology Associates, Inc.
• St. Bernards Village, Inc.
• John T St. Clair Jr.
• Jackson Lee St. Pierre, DO
• St.Bernards Imaging Center
• St.Bernards Pet Center LLC
• Stacy Wilbanks MD PLC
• Lindsey Stacy, APRN

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, 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 Mar 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.