Active NPI
Sue W. Poole, L.C.S.W.
- Clinical Social Worker
- Arkadelphia, AR
National Provider Identifier
1730269010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1771-C
- Practice address
- 201 N 26TH St
Arkadelphia, AR 71923-4336 - Phone
- (870) 246-4123
- Fax
- (501) 620-5109
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1771-C | AR | Primary |
Addresses
Primary practice location
201 N 26TH St
Arkadelphia, AR 71923-4336
Mailing address
125 Dons Way
Hot Springs, AR 71913
Phone (501) 620-5130
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116399726 | Medicaid | AR | |
| 1070032 | Other | AR | USA MANAGED CARE |
| 2325123 | Other | AR | CIGNA BEHAVIORAL HEALTH |
| 710401764POO | Other | AR | UNITY MANAGED HEALTH CARE |
| 06110016300 | Other | AR | QUAL CHOICE |
| 1730269010 | Other | AR | VALUE OPTIONS |
| 389961 | Other | AR | MHN NETWORK |
| 71-0401764 | Other | AR | CORPHEALTH |
| 710401764 | Other | ARK COMMUNITY CARE | |
| 710401764 | Other | AR | CORP HEALTH |
| 710401764 | Other | AR | NOVASYS |
| 5A054 | Other | AR | BLUE CROSS & BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1730269010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DONS WAY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-620-5130",
"fax_number": "501-620-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N 26TH ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719234336",
"telephone_number": "870-246-4123",
"fax_number": "501-620-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "SUE",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1771-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116399726",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "1070032",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2325123",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY MANAGED HEALTH CARE",
"identifier": "710401764POO",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "06110016300",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "1730269010",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN NETWORK",
"identifier": "389961",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH",
"identifier": "71-0401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK COMMUNITY CARE",
"identifier": "710401764",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP HEALTH",
"identifier": "710401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS",
"identifier": "710401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5A054",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.