Individual provider Active NPI

Donna J. Berryman, LCSW

  • Clinical Social Worker
  • Cabot, AR
National Provider Identifier
1740587369
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6993-C Issued in AR
Practice address
405 N 2ND St
Cabot, AR 72023-2539
Phone
(501) 843-3503
NPI assigned
Feb 16, 2011
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 6993M AR
Clinical Social Worker 1041C0700X 6993-C AR Primary

Addresses

Primary practice location

405 N 2ND St
Cabot, AR 72023-2539

Mailing address

104 Lock and Dam Rd
Russellville, AR 72802-9725
Phone (479) 747-5222

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
I20180122001029 AR Practitioner - Clinical Social Worker 8628337649 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6993MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. CurrentSince May 31, 2020 Accepting new patients
Simple Soul Counseling Services LLC CurrentSince Aug 19, 2024 Accepting new patients
Professional Counseling Associates Inc. CurrentSince Nov 1, 2017 Accepting new patients
River Valley Youth Foundation CurrentSince Jul 14, 2025 Accepting new patients
Arkansas Health Group Clinical CurrentSince Jan 25, 2021 Accepting new patients
Arkansas Health Group CurrentSince Jan 25, 2021 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

205 Westport Dr
Ste 1B
Cabot, AR 72023

405 N 2nd St
Cabot, AR 72023
Phone (501) 221-1843

121 N Main St
Harrison, AR 72601
Phone (870) 204-5640

303 W Newman Ave
Harrison, AR 72601
Phone (479) 318-2828

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11321 Interstate 30
Ste 304
Little Rock, AR 72209
Phone (501) 455-9500

201 W 2nd St
Lonoke, AR 72086
Phone (501) 676-3151

3601 Richards Rd
North Little Rock, AR 72117
Phone (501) 221-1843

104 Lock and Dam Rd
Russellville, AR 72802
Phone (479) 222-0268

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1740587369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-747-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232539",
            "telephone_number": "501-843-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYMAN",
        "first_name": "DONNA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6993M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6993-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.