Individual provider Active NPI

Ascha Fairmon-Hill, MS

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1780280305
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9673-M Issued in AR
Practice address
2933 Lakewood Village Dr
North Little Rock, AR 72116-8033
Phone
(501) 435-1417
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9673-M AR Primary

Addresses

Primary practice location

2933 Lakewood Village Dr
North Little Rock, AR 72116-8033

Mailing address

PO Box 746873
Atlanta, GA 30374-6873

Other practice location 1

6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (501) 265-0302

Other practice location 2

6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (501) 265-0302

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
I20250624001277 AR Practitioner - Clinical Social Worker 9032621206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Oak Street Health Physicians Group of Arkansas PLLCGroup PAC ID 2264893411, 9 clinicians

Practice addresses (Care Compare)

2933 Lakewood Village Dr
North Little Rock, AR 72116-8033
Phone (501) 435-1417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9673-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arkansas PLLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

5500 W 12th St
Little Rock, AR 72204
Phone (501) 435-1402

2933 Lakewood Village Dr
North Little Rock, AR 72116
Phone (501) 435-1417

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1780280305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746873",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 LAKEWOOD VILLAGE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168033",
            "telephone_number": "501-435-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6210 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722094728",
            "country_code": "US",
            "telephone_number": "501-265-0302",
            "fax_number": "501-265-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722094728",
            "country_code": "US",
            "telephone_number": "501-265-0302",
            "fax_number": "501-265-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRMON-HILL",
        "first_name": "ASCHA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9673-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.