Individual provider Active NPI

Lisa C. Richardson, LCSW

  • Clinical Social Worker
  • Heber Springs, AR
National Provider Identifier
1790899011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1106-C Issued in AR
Practice address
1716 W. Searcy St.
Heber Springs, AR 72543-3532
Phone
(501) 362-7595
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1106-C AR Primary

Addresses

Primary practice location

1716 W. Searcy St.
Heber Springs, AR 72543-3532

Mailing address

PO Box 441
Heber Springs, AR 72543-0441
Phone (501) 362-7595

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
I20200908003037 AR Practitioner - Clinical Social Worker 6901224955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
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
1106-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heber Springs Counseling, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Alternative Oppurtunities Past Accepting new patients
Lynda Larue Heber Springs Counseling Clinical PastSince Jan 26, 2020 Accepting new patients

Locations

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

1101 W Main St
Ste F
Heber Springs, AR 72543
Phone (501) 270-9503

Organizations & group practices 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790899011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725430441",
            "telephone_number": "501-362-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 W. SEARCY ST.",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433532",
            "telephone_number": "501-362-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LISA",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1106-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.