Individual provider Active NPI

Joshua Wayne Everett, LCSW, RPT, RIST

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1902244908
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7984-C Issued in AR
Practice address
1905 Linwood Dr Ste 2
Paragould, AR 72450
Phone
(870) 565-7201
Fax
(870) 359-6094
NPI assigned
Jun 12, 2013
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 7984-C AR Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1905 Linwood Dr Ste 2
Paragould, AR 72450

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72404
Phone (870) 933-6886

Other practice location 1

1301 N 22nd St
Paragould, AR 72450-2272
Phone (870) 335-5784

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
I20200803001159 AR Practitioner - Clinical Social Worker 1456776889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Book Wellness Center, LLCGroup PAC ID 9133534902, 8 clinicians

Practice addresses (Care Compare)

517 N 14TH St
Suite 4
Paragould, AR 72450-3550
Phone (870) 365-3881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7984-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas CurrentSince Feb 8, 2021 Accepting new patients
Open Book Wellness Center LLC Clinical CurrentSince Jul 6, 2021 Accepting new patients
Hometown Behavioral Health Services of Arkansas, Inc Current Accepting new patients
Clear Passage Therapies Inc Clinical Current Accepting new patients
Families, Inc of Arkansas CurrentSince Feb 8, 2021 Accepting new patients
Hometown Behavioral Health Services of Ar Inc. Clinical CurrentSince Jul 28, 2020 Accepting new patients

Locations

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

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

1905 Linwood Dr
Ste 2
Paragould, AR 72450
Phone (870) 565-7201

517 N 14th St
Ste 4
Paragould, AR 72450
Phone (870) 365-3881

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

Organizations & group practices 6

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1902244908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72404",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LINWOOD DR STE 2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-565-7201",
            "fax_number": "870-359-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724502272",
            "country_code": "US",
            "telephone_number": "870-335-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "JOSHUA",
        "middle_name": "WAYNE",
        "credential": "LCSW, RPT, RIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7984-C",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.