Individual provider Active NPI

Kathryn Paige Jaggers, LCSW

  • Clinical Social Worker
  • Hot Springs, AR
National Provider Identifier
1801048723
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2569-C Issued in AR
Practice address
1401 Malvern Ave Ste 152
Hot Springs, AR 71901-6370
Phone
(501) 538-4665
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 2569-C AR Primary

Addresses

Primary practice location

1401 Malvern Ave Ste 152
Hot Springs, AR 71901-6370

Mailing address

1401 Malvern Ave Ste 152
Hot Springs, AR 71901-6370
Phone (501) 418-1000

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
I20151119000797 AR Practitioner - Clinical Social Worker 1254631443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Malvern Ave
Suite 152
Hot Springs, AR 71901-6370
Phone (501) 418-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sisu Therapy and Consulting Services Clinical CurrentSince Nov 20, 2023 Accepting new patients
Healthy Connections Inc Past Accepting new patients

Locations

1401 Malvern Ave
Ste 152
Hot Springs National Park, AR 71901
Phone (501) 418-1000

Organizations & group practices 2

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1801048723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 152",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016370",
            "telephone_number": "501-418-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 152",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016370",
            "telephone_number": "501-538-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERS",
        "first_name": "KATHRYN",
        "middle_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2569-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.