Active NPI
Sandra Lynn Williams, LCSW
- Psychologist
- Heber Springs, AR
National Provider Identifier
1720024862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 987C
- Practice address
- 2237 Highway 25B
Heber Springs, AR 72543-6406 - Phone
- (501) 250-0000
- Fax
- (501) 362-0915
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 987C | AR | Primary |
Addresses
Primary practice location
2237 Highway 25B
Heber Springs, AR 72543-6406
Mailing address
2237 Highway 25B
Heber Springs, AR 72543-6406
Phone (501) 250-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143751744 | Medicaid | AK | |
| 142408019 | Medicaid | AK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 987C | AR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1720024862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2237 HIGHWAY 25B",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725436406",
"telephone_number": "501-250-0000",
"fax_number": "501-362-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2237 HIGHWAY 25B",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725436406",
"telephone_number": "501-250-0000",
"fax_number": "501-362-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "987C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143751744",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142408019",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.