Individual provider Active NPI

Gretchan N West, LCSW

  • Clinical Social Worker
  • Heber Springs, AR
National Provider Identifier
1770710774
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6127-C Issued in AR
Practice address
301 W Searcy St
Heber Springs, AR 72543-3840
Phone
(501) 270-9503
Fax
(501) 235-3866
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 2343-M AR
Clinical Social Worker 1041C0700X 6127-C AR Primary

Addresses

Primary practice location

301 W Searcy St
Heber Springs, AR 72543-3840

Mailing address

PO Box 96
Quitman, AR 72131-0096
Phone (501) 270-9503

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
I20241217002656 AR Practitioner - Clinical Social Worker 0840727707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heber Springs Counseling PLLCGroup PAC ID 0244658284, 6 clinicians

Practice addresses (Care Compare)

301 W Searcy St
Heber Springs, AR 72543-3840
Phone (501) 270-9503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2343-MARMDSocial Worker
6127-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heber Springs Counseling, PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

301 W Searcy St
Heber Springs, AR 72543
Phone (501) 270-9503

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1770710774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721310096",
            "telephone_number": "501-270-9503",
            "fax_number": "501-235-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W SEARCY ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433840",
            "telephone_number": "501-270-9503",
            "fax_number": "501-235-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GRETCHAN",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2343-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6127-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.