Individual provider Active NPI

Linda Jo Bankston, LCSW, LADAC, AADC

  • Social Worker
  • Russellville, AR
National Provider Identifier
1780301390
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12637-C Issued in AR
Practice address
115 S Denver Ave
Russellville, AR 72801-5018
Phone
(479) 434-1662
NPI assigned
Oct 24, 2022
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 459L AR
Social Worker 104100000X 12637-C AR Primary

Addresses

Primary practice location

115 S Denver Ave
Russellville, AR 72801-5018

Mailing address

608 W Parkway Dr # 164
Russellville, AR 72801-3629
Phone (479) 434-1662

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
I20251231001726 AR Practitioner - Clinical Social Worker 9830638964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3909 Hwy 282
Van Buren, AR 72956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
459LARMDAddiction (Substance Use Disorder) Counselor
12637-CARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lumina Revenue Cycle Management LLC CurrentSince Oct 20, 2025 Accepting new patients
Covenant Recovery Inc CurrentSince Dec 20, 2025 Accepting new patients
Renewed Life LLC Addiction (Substance Use Disorder) Current Accepting new patients
Recovery Resources LLC CurrentSince May 10, 2026 Accepting new patients

Locations

4301 S 16th St
Fort Smith, AR 72901
Phone (479) 242-1003

276 Linden St
Hot Springs, AR 71901
Phone (501) 226-6810

4621 Asher Ave
Little Rock, AR 72204
Phone (501) 454-6811

Organizations & group practices 4

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1780301390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W PARKWAY DR # 164",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013629",
            "telephone_number": "479-434-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S DENVER AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015018",
            "telephone_number": "479-434-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "LINDA",
        "middle_name": "JO",
        "credential": "LCSW, LADAC, AADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "459L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "12637-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.