Individual provider Active NPI

Corinne Kennedy Sappington, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1821221565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5534-C Issued in AR
Practice address
5905 Forest PL Ste 230
Little Rock, AR 72207-5265
Phone
(501) 777-3200
Fax
(501) 777-3202
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5534-C AR Primary

Addresses

Primary practice location

5905 Forest PL Ste 230
Little Rock, AR 72207-5265

Mailing address

5905 Forest PL Ste 230
Little Rock, AR 72207-5265
Phone (501) 777-3200

Other practice location 1

2411 W Main St
Jacksonville, AR 72076-4211
Phone (501) 982-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • 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
I20210603003295 AR Practitioner - Clinical Social Worker 1153720560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverstone Wellness Center, PLLC Clinical CurrentSince Mar 3, 2021 Accepting new patients
Corinne Sappington LCSW PLLC Clinical Current Accepting new patients

Locations

5905 Forest Pl
Ste 230
Little Rock, AR 72207
Phone (501) 777-3200

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821221565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL STE 230",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075265",
            "telephone_number": "501-777-3200",
            "fax_number": "501-777-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL STE 230",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075265",
            "telephone_number": "501-777-3200",
            "fax_number": "501-777-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720764211",
            "country_code": "US",
            "telephone_number": "501-982-5402",
            "fax_number": "501-553-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPPINGTON",
        "first_name": "CORINNE",
        "middle_name": "KENNEDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5534-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.