Individual provider Active NPI

Wanda Rodinsky, LCSW

  • Social Worker
  • Bentonville, AR
National Provider Identifier
1720112725
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2003-C Issued in AR
Practice address
2707 SE G St
Bentonville, AR 72712-3740
Phone
(479) 367-2552
Fax
(479) 367-2584
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004449 MO
Social Worker 104100000X 2003-C AR Primary

Addresses

Primary practice location

2707 SE G St
Bentonville, AR 72712-3740

Mailing address

2707 SE G St
Bentonville, AR 72712-3740
Phone (479) 367-2552

Other identifiers 2

IdentifierTypeStateIssuer
200954690MedicaidOK
1720112725MedicaidMO

Other names 1

  • Wanda Lou Triplett Langer 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
I20080628000164 AR Practitioner - Clinical Social Worker 8426120973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Holden Psychiatric Institute PAGroup PAC ID 9234114349, 6 clinicians
Rogers Counseling Services IncGroup PAC ID 2668791260, 2 clinicians

Practice addresses (Care Compare)

2707 SE G St
Bentonville, AR 72712-3740
Phone (479) 367-2552

604 N 13TH St
Suite 8
Rogers, AR 72756-3459
Phone (479) 957-8464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004449MOMDSocial Worker
2003-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holden Psychiatric Institute, PA CurrentSince Jan 8, 2021 Accepting new patients
Holden Psychiatric Institute, PA CurrentSince Jan 17, 2021 Accepting new patients
Rogers Counseling Services, Inc. CurrentSince Jul 7, 2020 Accepting new patients

Locations

2200 SE J St
Ste 12
Bentonville, AR 72712
Phone (479) 364-0462

2707 SE G St
Bentonville, AR 72712
Phone (479) 367-2552

2200 SE J St
Ste 14
Bentonville, AR 72712
Phone (479) 254-9777

200 SE 22nd St
Ste 14
Bentonville, AR 72712

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

604 N 13th St
Ste 8
Rogers, AR 72756
Phone (479) 957-8464

2303 W Beacon Circle Dr
Rogers, AR 72758
Phone (479) 715-9800

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1720112725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SE G ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-367-2552",
            "fax_number": "479-367-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SE G ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-367-2552",
            "fax_number": "479-367-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODINSKY",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "004449",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2003-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200954690",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720112725",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "TRIPLETT LANGER",
            "middle_name": "LOU",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.