Individual provider Active NPI

Emmett A Presley, LCSW, DCSW, MSWAC

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1982826830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-218 Issued in AR
Practice address
1817 Woodsprings Rd
Ste G
Jonesboro, AR 72401-0903
Phone
(870) 934-9800
Fax
(870) 934-8463
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C-218 AR Primary

Addresses

Primary practice location

1817 Woodsprings Rd
Ste G
Jonesboro, AR 72401-0903

Mailing address

PO Box 32
State University, AR 72467-0032
Phone (870) 935-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-218ARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mental Health Associates Past Accepting new patients
Alternative Opportunities Past Accepting new patients

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982826830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "STATE UNIVERSITY",
            "state": "AR",
            "postal_code": "724670032",
            "telephone_number": "870-935-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 WOODSPRINGS RD",
            "address_2": "STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010903",
            "telephone_number": "870-934-9800",
            "fax_number": "870-934-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "EMMETT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW, DCSW, MSWAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "C-218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.