Individual provider Active NPI

Morgan Scott

  • Clinical Social Worker
  • Bentonville, AR
National Provider Identifier
1841045234
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11532-C Issued in AR
Practice address
3400 SE Macy Rd
Bentonville, AR 72712-7841
Phone
(479) 321-2818
Fax
(479) 358-1448
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 11532-C AR Primary

Addresses

Primary practice location

3400 SE Macy Rd
Bentonville, AR 72712-7841

Mailing address

PO Box 1023
Bentonville, AR 72712-1023
Phone (479) 321-2818

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
I20240923000130 AR Practitioner - Clinical Social Worker 7012458722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ketamine and IV Therapy Clinic of Nwa LLCGroup PAC ID 6507308707, 12 clinicians
Pure Balance of Nwa PLLCGroup PAC ID 6901344928, 8 clinicians

Practice addresses (Care Compare)

101 Grant PL
Suite C
Lowell, AR 72745-7103
Phone (479) 318-2382

3608 W Southern Hills Blvd
Suite 4
Rogers, AR 72758-8310
Phone (479) 633-7052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11532-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Balance of Nwa PLLC CurrentSince Aug 1, 2024 Accepting new patients
Agape Center, LLC CurrentSince Apr 21, 2024 Accepting new patients
Ketamine and IV Therapy Clinic of Nwa LLC CurrentSince Jan 20, 2026 Accepting new patients

Locations

101 Grant Pl
Ste C
Lowell, AR 72745
Phone (479) 313-2382

3608 W Southern Hills Blvd
Ste 4
Rogers, AR 72758
Phone (479) 318-2382

3608 W Southern Hills Blvd
Rogers, AR 72758
Phone (479) 633-7052

Organizations & group practices 3

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1841045234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121023",
            "telephone_number": "479-321-2818",
            "fax_number": "479-358-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE MACY RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127841",
            "telephone_number": "479-321-2818",
            "fax_number": "479-358-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11532-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.