Individual provider Active NPI

Cindy Annette Brown, LCSW, M.A., MSW, MBA

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1871994145
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3376-C Issued in AR
Practice address
5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757
Phone
(501) 414-9141
Fax
(501) 904-4409
NPI assigned
Sep 5, 2014
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 3376-C AR Primary

Addresses

Primary practice location

5800 Evergreen Dr Ste G
Little Rock, AR 72205-1757

Mailing address

217 Johnson St
Little Rock, AR 72205-5823
Phone (501) 414-9141

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
I20181116001933 AR Practitioner - Clinical Social Worker 2769736313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1302 Cumberland St
Little Rock, AR 72202-5061
Phone (501) 205-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Families First LLC PastSince Nov 1, 2015 Accepting new patients

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": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1871994145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JOHNSON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055823",
            "telephone_number": "501-414-9141",
            "fax_number": "501-904-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 EVERGREEN DR STE G",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051757",
            "telephone_number": "501-414-9141",
            "fax_number": "501-904-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CINDY",
        "middle_name": "ANNETTE",
        "credential": "LCSW, M.A., MSW, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2023-01-04",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3376-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.