Individual provider Active NPI

Emily Pearson, LCSW

  • Clinical Social Worker
  • Jones Boro, AR
National Provider Identifier
1932711215
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1815 Pleasant Grove Rd
Jones Boro, AR 72405-7870
Phone
(870) 933-6886
Fax
(870) 336-1339
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 Primary

Addresses

Primary practice location

1815 Pleasant Grove Rd
Jones Boro, AR 72405-7870

Mailing address

1815 Pleasant Grove Rd
Jones Boro, AR 72405-7870
Phone (870) 933-6886

Other names 1

  • Emily Ford Former name

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
I20240315000476 AR Practitioner - Clinical Social Worker 2163868969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kari Crawford LPC RPT CounselingGroup PAC ID 3375963853, 4 clinicians

Practice addresses (Care Compare)

2000 E Matthews Ave
Jonesboro, AR 72401-4348
Phone (870) 203-6177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Crawford LPC RPT Counseling CurrentSince Apr 1, 2024 Accepting new patients
Families, Inc. of Arkansas CurrentSince Feb 3, 2024 Accepting new patients
Families, Inc of Arkansas CurrentSince Feb 3, 2024 Accepting new patients
United Methodist Behavioral Health Systems, Inc PastSince Aug 1, 2020 Accepting new patients
United Methodist Behavioral Health System, Inc PastSince Aug 1, 2020 Accepting new patients

Locations

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

2000 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 203-6177

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

Organizations & group practices 5

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1932711215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONES BORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-336-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONES BORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-336-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-01-12",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.