Individual provider Active NPI

Brandi Lyn Pinn, MSW, LCSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1750789178
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8366-C Issued in AR
Practice address
707 N Cardinal Dr Ste 7
Mountain Home, AR 72653-3274
Phone
(870) 425-5644
NPI assigned
Dec 17, 2014
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8366-M AR
Clinical Social Worker 1041C0700X 8366-C AR Primary

Addresses

Primary practice location

707 N Cardinal Dr Ste 7
Mountain Home, AR 72653-3274

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other identifiers 1

IdentifierTypeStateIssuer
260242719MedicaidAR

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
I20201104000636 AR Practitioner - Clinical Social Worker 3577973445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chenal Family Therapy PLCGroup PAC ID 8325395627, 39 clinicians

Practice addresses (Care Compare)

304 W Collin Raye Dr
Suite 103a
De Queen, AR 71832-2000
Phone (870) 304-2636

451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8366-CARMDClinical Social Worker
8366-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Aug 1, 2022 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Aug 1, 2022 Accepting new patients
Chenal Family Therapy, PLC CurrentSince Jul 7, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Aug 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Aug 1, 2022 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Transitions Counseling Clinic PLC Social Worker PastSince Apr 9, 2023 Accepting new patients

Locations

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005

10144 Highway 63 N
#A
Bono, AR 72416
Phone (870) 520-6069

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

104 W State St
Caraway, AR 72419
Phone (870) 219-7706

1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

704 Main Ave
Dierks, AR 71833
Phone (870) 455-1172

2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1713 W Main St
Heber Springs, AR 72543
Phone (501) 250-2020

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

9798 Highway 62 W
Viola, AR 72583
Phone (870) 458-6732

451 Phillips St
West Fork, AR 72774
Phone (479) 294-6085

Interoperability endpoints

  • Direct secure messaging: brandi.pinn.1@15024.direct.athenahealth.com

Organizations & group practices 7

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1750789178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR STE 7",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533274",
            "telephone_number": "870-425-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINN",
        "first_name": "BRANDI",
        "middle_name": "LYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8366-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8366-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260242719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.