Heather Nicole Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8342-C Issued in AR

Practice address

201 Colonial Dr
Walnut Ridge, AR 72476-1410

Phone

(870) 886-5507

NPI assigned

Sep 17, 2013

Last updated

Dec 30, 2024By the provider in NPPES

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

• Heather Nicole Campbell Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Corning, AR
  • NPI 1942256508
  Medicare reassignment Care Compare group NPD
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• NC Counseling Services, PLLC

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1275181216
  Medicare reassignment NPD
• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Walnut Ridge, AR
  • NPI 1598711152
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1972939304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLONIAL DR",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761410",
            "telephone_number": "870-886-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724551924",
            "country_code": "US",
            "telephone_number": "870-378-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8342-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CAMPBELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northeast Arkansas Service Company (Home Medical Equipment and Supplies)
• Rebecca Lynn Osborne, MD
• Monica Keeley Pearcy, QBHP
• Shawn C Peyton, M.D.
• Cristy Phillips, PT
• Michael L Powell, PH.D., LPC, LADAC
• Cara Price
• Baylee Rash
• Rebecca R. Edwards,DDS,PA.
• Rebecca Reed, QBHP

• Clinical Social Worker in Walnut Ridge, AR
• Providers in Walnut Ridge, 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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.