Active NPI
Helen G. Shirron, LCSW
- Clinical Social Worker
- Jacksonville, AR
National Provider Identifier
1760500599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2125-C
- Practice address
- 2126 N 1St St Ste F
Jacksonville, AR 72076-2868 - Phone
- (501) 982-5000
- Fax
- (501) 982-5007
- NPI assigned
- Mar 27, 2007
- 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 | 2125-C | AR | Primary |
Addresses
Primary practice location
2126 N 1St St Ste F
Jacksonville, AR 72076-2868
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone (870) 933-6886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172641795 | Medicaid | AR | |
| 5A360 | Other | AR | BCBS |
Other names 1
- Helen Marie Gammill
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2125-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc. of Arkansas | Current | Accepting new patients | |
| Families, Inc of Arkansas | Current | Accepting new patients |
Locations
1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886
2126 N 1st St
Ste F
Little Rock AFB, AR 72076
Phone (501) 982-5000
1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
- NPI 1770535569
-
dba Families, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Ridge, AR
- NPI 1447421169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1760500599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017870",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 N 1ST ST STE F",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720762868",
"telephone_number": "501-982-5000",
"fax_number": "501-982-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRRON",
"first_name": "HELEN",
"middle_name": "G.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2125-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172641795",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5A360",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "GAMMILL",
"middle_name": "MARIE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.