WILLIAM M LEATHERWOOD LCSW
NPI 1619389871
Social Worker - Clinical in Jonesboro, AR

Q: What is William Leatherwood's NPI number?

The NPI number for William Leatherwood is 1619389871. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Q: What is William Leatherwood's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 22, 2014PECOS Enrolled

533 W WASHINGTON AVE, JONESBORO, AR 72401(870) 229-0302(870) 520-6482 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About William M Leatherwood Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM M LEATHERWOOD LCSW (NPI 1619389871) is an individual clinical provider in Jonesboro, Arkansas, licensed in Arkansas (4692C) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1619389871

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameWILLIAM M LEATHERWOODCredential: LCSW

Location Address533 W WASHINGTON AVEJonesboro, AR 72401-2782

Mailing Address533 W Washington AveJonesboro, AR 72401-2782 · (870) 897-6346 · Fax (870) 520-6482

Phone(870) 229-0302

Fax(870) 520-6482

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 22, 2014

Last NPPES UpdateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1619389871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in AR · 4692C

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

533 W WASHINGTON AVE, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William M Leatherwood Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214410778

PECOS Enrollment IDI20260511002250

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Leatherwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundation: A Wellness Practice, LLC

0.5 mi

Counselor

533 W WASHINGTON AVE
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
11 clinicians in this Medicare group

NPI 1750878203 (870) 229-0302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $51.36 – $157.74

Typical copayment $0.00 (range $12.84 – $39.43)

Most-billed visit code NA

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKI WHITE LCSW

Social Worker (Clinical)