Active NPI
Terry Dow Rhea Sr., LMSW
- Social Worker
- Gassville, AR
National Provider Identifier
1689704322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1636-M
- Practice address
- 7345 Highway 62 W
Gassville, AR 72635-8636 - Phone
- (870) 435-5511
- Fax
- (870) 435-5513
- NPI assigned
- Mar 6, 2007
- Last updated
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1636-M | AR | Primary |
Addresses
Primary practice location
7345 Highway 62 W
Gassville, AR 72635-8636
Mailing address
7345 Highway 62 W
Gassville, AR 72635-8636
Phone (870) 435-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1636-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1689704322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 HIGHWAY 62 W",
"city": "GASSVILLE",
"state": "AR",
"postal_code": "726358636",
"telephone_number": "870-435-5511",
"fax_number": "870-435-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 HIGHWAY 62 W",
"city": "GASSVILLE",
"state": "AR",
"postal_code": "726358636",
"telephone_number": "870-435-5511",
"fax_number": "870-435-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEA",
"first_name": "TERRY",
"middle_name": "DOW",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "1636-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gassville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.