Jimmie Annette Wooding, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2387-C Issued in AR

Practice address

615 N 19TH St
Fort Smith, AR 72901-3319

Phone

(479) 785-4083

Fax

(479) 668-2059

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jimmie Annette Bowen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1952508988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 19TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013319",
            "telephone_number": "479-785-4083",
            "fax_number": "479-668-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 19TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013319",
            "telephone_number": "479-785-4083",
            "fax_number": "479-668-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODING",
        "first_name": "JIMMIE",
        "middle_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2387-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMIE",
            "last_name": "BOWEN",
            "middle_name": "ANNETTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clint Edwin Wood, M.D.
• Jennifer Fox Wood, M.D.
• Thomas R Wood, D.O.
• Brittany Wooden, QBHP
• Victoria Marie Woodhull, OTR/L
• Kristen Woods
• Jeremy D Woody, M.S., CCC-SLP
• Melanie A Woody, MHPP
• Logan Glen Woolf, DPT
• Jason Daniel Woolsey, D.D.S.

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.