Individual provider Active NPI

Savannah P Zumbro, LMSW

  • Clinical Social Worker
  • Rogers, AR
National Provider Identifier
1851001507
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11294-M Issued in AR
Practice address
324 N 2ND St
Rogers, AR 72756-6647
Phone
(479) 435-4702
Fax
(479) 935-3180
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 11294-M AR Primary

Addresses

Primary practice location

324 N 2ND St
Rogers, AR 72756-6647

Mailing address

PO Box 9541
Fayetteville, AR 72703-0026
Phone (479) 435-4207

Other practice location 1

54 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone (479) 435-4207

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Easoncounseling@gmail.com

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
I20231030002405 AR Practitioner - Clinical Social Worker 1254787070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11294-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eason Counseling and Associates, LLC Clinical CurrentSince Aug 31, 2023 Accepting new patients

Organizations & group practices 1

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1851001507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9541",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030026",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566647",
            "telephone_number": "479-435-4702",
            "fax_number": "479-935-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W Sunbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031822",
            "country_code": "US",
            "telephone_number": "479-435-4207",
            "fax_number": "479-935-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUMBRO",
        "first_name": "SAVANNAH",
        "middle_name": "P",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11294-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Easoncounseling@gmail.com",
            "affiliation": "N",
            "address_1": "324 N 2nd St",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727566647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.