Holly J De Sambourg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8308-C Issued in AR

Practice address

101 Rhonda Ann PL
Hot Springs, AR 71909-9645

Phone

(501) 500-4091

Fax

(501) 307-1475

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mindful Healing Therapy

  • Clinical Social Worker
  • Hot Springs, AR
  • NPI 1396520458
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1811480320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RHONDA ANN PL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099645",
            "telephone_number": "501-500-4091",
            "fax_number": "501-307-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RHONDA ANN PL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099645",
            "telephone_number": "501-500-4091",
            "fax_number": "501-307-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Main St Ste V",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134964",
            "country_code": "US",
            "telephone_number": "501-321-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SAMBOURG",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8308-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Nicole Davis
• Sonja Davis, APRN-CNP
• Velma Davis, MHPP
• Christi G Day, MED., CCC-SLP
• Dayspring Services of Arkansas LLC
• Deborah H. Sparling D.D.S., Inc.
• Stephanie Dedman, DPT
• Max K Delee, DC
• Neal Adam Delee, DDS
• Quincie Deloach, MHPP

• Clinical Social Worker in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.