Active NPI
Karinda Dawn Sullivan, LCSW
- Clinical Social Worker
- Salem, AR
National Provider Identifier
1760793756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5878-C
- Practice address
- 172 Highway 62 W
Salem, AR 72576-8059 - Phone
- (870) 895-2735
- Fax
- (870) 895-2709
- NPI assigned
- Jun 24, 2010
- Last updated
- Jul 20, 2026
- 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 | 5878-C | AR | Primary |
Addresses
Primary practice location
172 Highway 62 W
Salem, AR 72576-8059
Mailing address
PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1001 N Missouri Ave
Corning, AR 72422-7011
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": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1760793756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "CORNING",
"state": "AR",
"postal_code": "724220083",
"telephone_number": "870-857-3334",
"fax_number": "870-857-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 HIGHWAY 62 W",
"city": "SALEM",
"state": "AR",
"postal_code": "725768059",
"telephone_number": "870-895-2735",
"fax_number": "870-895-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KARINDA",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "5878-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, AR
- Spring River Home Health Agency (Spring River Home Infusion)
- Spring River Home Health Agency Inc (Spring River Therapy)
- Spring River Home Health Agency Inc
- State of Arkansas
- Robin Stein, LCSW
- Laurel A Tait, DPM
- Ashley Tanner
- Thrive Therapy Solutions LLC
- Tri-County Medical Supply & Respiratory Services, Inc.
- Shira Lanae Turner, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.