Active NPI
Aubrey Wilson, LCSW
- Clinical Social Worker
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8290-C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235892719 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8290-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Aubrey Wilson Counseling, LLC | Clinical | Current | 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
- aubrey.wilson@aphw.eclinicaldirectplus.com
- 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.
-
- Clinical Social Worker
- Mountain Home, AR
- NPI 1306526587
-
- Rural Health Clinic/Center
- Malvern, AR
- NPI 1215773262
-
- Rural Health Clinic/Center
- Ash Flat, AR
- NPI 1699097436
-
- Rural Health Clinic/Center
- Caraway, AR
- NPI 1104321850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.