Individual provider Active NPI

Paul Wesley Rust, LCSW

  • Clinical Social Worker
  • Fort Smith, AR
National Provider Identifier
1871750950
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
237C Issued in AR
Practice address
5111 Rogers Ave
Suite 504
Fort Smith, AR 72903-2047
Phone
(479) 484-1111
Fax
(479) 484-1111
NPI assigned
May 17, 2008
Last updated
May 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 237C AR Primary
Marriage & Family Therapist 106H00000X M980314 AR

Addresses

Primary practice location

5111 Rogers Ave
Suite 504
Fort Smith, AR 72903-2047

Mailing address

5111 Rogers Ave
Suite 504
Fort Smith, AR 72903-2047
Phone (479) 484-1111

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
I20050614001419 AR Practitioner - Clinical Social Worker 1951345545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4951 Old Greenwood Rd
Fort Smith, AR 72903-6906
Phone (479) 709-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
237CARMDClinical Social Worker
M980314ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Edwards Preferred Counseling, P.a. CurrentSince Dec 31, 2023 Accepting new patients
Paul Rust Inc. Clinical CurrentSince Jan 1, 2007 Accepting new patients

Locations

4611 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 322-9273

4951 Old Greenwood Rd
Fort Smith, AR 72903
Phone (479) 484-4665

5111 Rogers Ave
Ste 504
Fort Smith, AR 72903
Phone (479) 285-5241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1871750950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 504",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-484-1111",
            "fax_number": "479-484-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 504",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-484-1111",
            "fax_number": "479-484-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "PAUL",
        "middle_name": "WESLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "237C",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M980314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.