Individual provider Active NPI

Rebecca Ann Mansfield, LCSW

  • Clinical Social Worker
  • Jacksonville, AR
National Provider Identifier
1699721555
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2073-C Issued in AR
Practice address
1100 John Harden Dr
Hope Springs Psychotherapy
Jacksonville, AR 72076-3161
Phone
(501) 983-2925
Fax
(501) 983-2926
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2073-C AR Primary

Addresses

Primary practice location

1100 John Harden Dr
Hope Springs Psychotherapy
Jacksonville, AR 72076-3161

Mailing address

8522 Yellow Oak Dr
Jacksonville, AR 72076-8521
Phone (501) 691-3306

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
I20071213000807 AR Practitioner - Clinical Social Worker 5496845489 Practice locations: Jacksonville, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

625 N 1St St
Suite C
Jacksonville, AR 72076-4138
Phone (501) 985-0292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Oppurtunities Past 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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1699721555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 YELLOW OAK DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720768521",
            "telephone_number": "501-691-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHN HARDEN DR",
            "address_2": "HOPE SPRINGS PSYCHOTHERAPY",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763161",
            "telephone_number": "501-983-2925",
            "fax_number": "501-983-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2073-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

Verify at the official NPI Registry.