Organization Active NPI

Spring of Renewal

  • Clinical Social Worker
  • Springdale, AR
National Provider Identifier
1972062842
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPRING OF RENEWAL
Practice address
2964 W Huntsville Ave
Springdale, AR 72762-7726
Phone
(501) 463-1327
Fax
(501) 242-4016
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Angela D Moses, LCSWNPI 1356645436
Title
Social Worker
Phone
(501) 463-1327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2964 W Huntsville Ave
Springdale, AR 72762-7726

Mailing address

PO Box 6623
Springdale, AR 72766-6623
Phone (501) 463-1327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919001316 AR Part B Supplier - Clinic/Group Practice 0345570271 Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, AR; Springdale, AR

National Provider Directory

National Provider Directory

Locations

320 Ouachita Ave
Ste 212
Hot Springs, AR 71901
Phone (501) 455-4545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1972062842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6623",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727666623",
            "telephone_number": "501-463-1327",
            "fax_number": "501-242-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627726",
            "telephone_number": "501-463-1327",
            "fax_number": "501-242-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF RENEWAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "501-463-1327",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.