Individual provider Active NPI

Joanne E Williams, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1801151436
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6636-C Issued in AR
Practice address
2701 S Caraway Rd Ste B1
Jonesboro, AR 72401-7336
Phone
(870) 790-1766
Fax
(870) 292-3431
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 6636-C AR Primary

Addresses

Primary practice location

2701 S Caraway Rd Ste B1
Jonesboro, AR 72401-7336

Mailing address

2701 S Caraway Rd Ste B1
Jonesboro, AR 72401-7336
Phone (870) 790-1766

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
I20220406000705 AR Practitioner - Clinical Social Worker 8820345531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope and Healing of Nea PLLCGroup PAC ID 7012302300, 8 clinicians

Practice addresses (Care Compare)

2701 S Caraway Rd
Suite B1
Jonesboro, AR 72401-7336
Phone (870) 926-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6636-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing of Nea PLLC Clinical CurrentSince Mar 25, 2022 Accepting new patients

Locations

2701 S Caraway Rd
Ste B1
Jonesboro, AR 72401
Phone (870) 790-1766

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1801151436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD STE B1",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017336",
            "telephone_number": "870-790-1766",
            "fax_number": "870-292-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD STE B1",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017336",
            "telephone_number": "870-790-1766",
            "fax_number": "870-292-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOANNE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6636-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.