Individual provider Active NPI

Aubrey Wilson, LCSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1982058723
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8290-C Issued in AR
Practice address
210 E 7TH St Ste 3
Mountain Home, AR 72653-4457
Phone
(740) 288-5317
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 8290-C AR Primary

Addresses

Primary practice location

210 E 7TH St Ste 3
Mountain Home, AR 72653-4457

Mailing address

210 E 7TH St Ste 3
Mountain Home, AR 72653-4457
Phone (740) 288-5317

Other identifiers 1

IdentifierTypeStateIssuer
235892719MedicaidAR

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
I20201103002633 AR Practitioner - Clinical Social Worker 0446660393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8290-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC Current Accepting new patients
Aubrey Wilson Counseling, LLC Clinical CurrentSince Jul 31, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570

3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005

1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

210 E 7th St
Ste 3
Mountain Home, AR 72653
Phone (740) 288-5317

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: aubrey.wilson@aphw.eclinicaldirectplus.com
  • Direct secure messaging: aubrey.wilson.1@15024.direct.athenahealth.com

Organizations & group practices 4

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1982058723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534457",
            "telephone_number": "740-288-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534457",
            "telephone_number": "740-288-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AUBREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8290-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235892719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.