Martha Hayes-Hudspeth, LCSW
Individual provider Active NPI Clinical Social Worker · Paragould, AR
NPI 1942526645 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1942526645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11760-C (AR)
- Practice address
- 1101 Morgan St
Suite 8
Paragould, AR 72450-3949 - Phone
- (870) 335-9483
- Fax
- (870) 335-9487
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Families, Inc of Arkansas
Practice addresses (Care Compare)
118 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 206-9428
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040830000376 | AR | Practitioner - Clinical Social Worker | 4385619766 | Reassigns benefits to 1 organization |
| I20121116000047 | TN | Practitioner - Clinical Social Worker | 4385619766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11760-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc of Arkansas | Current |
Accepting new patients | |
| Families, Inc. of Arkansas | Past |
Accepting new patients | |
| Cocaine and Alcohol Awareness Program, Inc. | Past | Accepting new patients |
Locations
1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886
1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303
Interoperability endpoints
- martha.hudspeth.p1@direct.tristatechc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11760-C | AR | Yes |
Addresses
Primary practice location
1101 Morgan St
Suite 8
Paragould, AR 72450-3949
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other providers in Paragould, AR
- Allie Jo Haughey
- John Michael Havens
- Natasha Anastasia Hawkins
- Sarah Hawkins
- Madelyn Brooke Hawley
- Stephanie R Hayes
- Jana Dawn Haynes
- Rocky Dean Haynes Jr.
- Chelsea Cheyenne Hays
- Marion Powell Hazzard
All providers in Paragould, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.