Individual provider Active NPI

Nichalaus Horton, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1992493787
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12752C Issued in AR
Practice address
2718 S Arch St
Little Rock, AR 72206-6529
Phone
(501) 551-1201
Fax
(501) 615-8721
NPI assigned
Apr 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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 12752C AR Primary

Addresses

Primary practice location

2718 S Arch St
Little Rock, AR 72206-6529

Mailing address

2718 S Arch St
Little Rock, AR 72206-6529
Phone (501) 551-1201

Other practice location 1

17706 Interstate 30 N Ste 3
Benton, AR 72019-2930
Phone (501) 575-2344

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
I20260520000644 AR Practitioner - Clinical Social Worker 0446729370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Colorado School of Medicine, Denver, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4412 Skyhawk Cir
Little Rock, AR 72223-9448

PO Box
Suite 202
Conway, AR 72033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12752CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Holistic Therapy Clinical CurrentSince Apr 30, 2023 Accepting new patients
Reach Behavioral Health Clinical CurrentSince Apr 12, 2026 Accepting new patients

Locations

17680 Interstate 30 N
Ste 1
Benton, AR 72019
Phone (501) 575-2344

17706 Interstate 30 N
Ste 3
Benton, AR 72019
Phone (501) 315-4414

300 S Rodney Parham Rd
Ste 13
Little Rock, AR 72205

2718 S Arch St
Little Rock, AR 72206
Phone (501) 551-1201

300 S Rodney Parham Rd
Ste 12
Little Rock, AR 72205
Phone (501) 575-2344

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1992493787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-551-1201",
            "fax_number": "501-615-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-551-1201",
            "fax_number": "501-615-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17706 Interstate 30 N Ste 3",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720192930",
            "country_code": "US",
            "telephone_number": "501-575-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "NICHALAUS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12752C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.