Individual provider Active NPI

Virginia A Brown, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1841388063
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1365-C Issued in AR
Practice address
1300 Mellon St
Little Rock, AR 72207-6148
Phone
(501) 416-9351
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 1365-C AR Primary

Addresses

Primary practice location

1300 Mellon St
Little Rock, AR 72207-6148

Mailing address

1300 Mellon St
Little Rock, AR 72207-6148
Phone (501) 416-9351

Other identifiers 4

IdentifierTypeStateIssuer
19403000000OtherARQUALCHOICE
800011329OtherARRAILROAD MEDICARE
P00020686OtherARRAILROAD MEDICARE
126188726MedicaidAR

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
I20070129000223 AR Practitioner - Clinical Social Worker 3072514488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
We Psychiatric Services PLLCGroup PAC ID 5698142248, 8 clinicians

Practice addresses (Care Compare)

1301 Wilson Rd
Little Rock, AR 72205-6659
Phone (501) 225-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association CurrentSince Oct 1, 2013 Accepting new patients
Senior Resolution Resources, Inc PastSince Jun 7, 2021 Accepting new patients

Locations

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1841388063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MELLON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076148",
            "telephone_number": "501-416-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MELLON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076148",
            "telephone_number": "501-416-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1365-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "19403000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "800011329",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00020686",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126188726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.