Individual provider Active NPI

Shannon Caraway, LCSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1841602141
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8370C Issued in AR
Practice address
210 E 7TH St
Suite 3, Office a
Mountain Home, AR 72653
Phone
(870) 213-8769
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8370-C AR
Clinical Social Worker 1041C0700X 8370-C AR
Clinical Social Worker 1041C0700X 8370C AR Primary

Addresses

Primary practice location

210 E 7TH St
Suite 3, Office a
Mountain Home, AR 72653

Mailing address

210 E 7TH St
Suite 3, Office a
Mountain Home, AR 72653
Phone (870) 213-8769

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
I20200901001496 AR Practitioner - Clinical Social Worker 5698192953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 E 7TH St
Mountain Home, AR 72653-4414
Phone (870) 213-8769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8370-CARMDMental Health Counselor
8370CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Behavioral Health Services of Ar Inc. Mental Health CurrentSince Aug 26, 2020 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Mar 30, 2022 Accepting new patients
Caraway Counseling Services, LLC Clinical CurrentSince Apr 14, 2025 Accepting new patients
Baxter County Regional Hospital, Inc. Current Accepting new patients
Hometown Behavioral Health Services of Arkansas, Inc Current Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Mar 30, 2022 Accepting new patients
Ascent Acquisitions Corp-Cypdc Past Accepting new patients

Locations

503 SE Lindsey St
Hoxie, AR 72433
Phone (870) 886-1333

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023

230 Highway 5 N
Ste 20A
Mountain Home, AR 72653
Phone (870) 425-1787

353 E 8th St
Mountain Home, AR 72653
Phone (870) 425-3125

210 E 7th St
Ste 3
Mountain Home, AR 72653
Phone (740) 288-5317

Organizations & group practices 7

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1841602141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST",
            "address_2": "SUITE 3, OFFICE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-213-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST",
            "address_2": "SUITE 3, OFFICE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-213-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "8370-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8370-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8370C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.