Individual provider Active NPI

Vashonda Eason, LCSW

  • Clinical Social Worker
  • Springdale, AR
National Provider Identifier
1811108129
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2369-C Issued in AR
Practice address
3623 Johnson Mill Blvd Ste 103
Springdale, AR 72762-6412
Phone
(479) 435-4207
Fax
(479) 935-3180
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 2369-C AR Primary

Addresses

Primary practice location

3623 Johnson Mill Blvd Ste 103
Springdale, AR 72762-6412

Mailing address

PO Box 9541
Fayetteville, AR 72703-0026
Phone (479) 435-4207

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
I20100803000399 AR Practitioner - Clinical Social Worker 7517090178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eason Counseling and Associates LLCGroup PAC ID 5496082026, 7 clinicians

Practice addresses (Care Compare)

3623 Johnson Mill Blvd
Suite 103
Springdale, AR 72762-6412
Phone (479) 435-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eason Counseling and Associates, LLC Clinical CurrentSince Jun 2, 2019 Accepting new patients

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1811108129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9541",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030026",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 JOHNSON MILL BLVD STE 103",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626412",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "VASHONDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2369-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.