Active NPI
Avis K. Phifer, LMSW
- Social Worker
- Texarkana, AR
National Provider Identifier
1720405244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12926-M
- Practice address
- 2904 Arkansas Blvd
Texarkana, AR 71854-2536 - Phone
- (870) 773-4655
- Fax
- (870) 772-4640
- NPI assigned
- Mar 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PLMSW | AR | |
| Social Worker | 104100000X | 12926-M | AR | Primary |
Addresses
Primary practice location
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Mailing address
PO Box 1987
Texarkana, TX 75504-1987
Phone (870) 773-4655
Other names 1
- Ms. Avis K. Smith
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 |
|---|---|---|---|
| 12926-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginings Behavioral Health | Past | Accepting new patients | |
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients | |
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Little Rock, AR
- NPI 1699215392
-
- Community/Behavioral Health Agency
- De Queen, AR
- NPI 1194975102
-
- Community/Behavioral Health Agency
- Texarkana, AR
- NPI 1598761553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1720405244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1987",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755041987",
"telephone_number": "870-773-4655",
"fax_number": "870-772-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 ARKANSAS BLVD",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542536",
"telephone_number": "870-773-4655",
"fax_number": "870-772-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIFER",
"first_name": "AVIS",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "PLMSW",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "12926-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVIS",
"last_name": "SMITH",
"middle_name": "K.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.