MARY GRACE MACON LMSW
NPI 1710568910
Social Worker in Little Rock, AR

Q: What is Mary Macon's NPI number?

The NPI number for Mary Macon is 1710568910. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Mary Macon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Macon was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment

12921 CANTRELL RD STE 105, LITTLE ROCK, AR 72223(501) 891-5492 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mary Grace Macon Lmsw NPPES

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

MARY GRACE MACON LMSW (NPI 1710568910) is an individual social worker in Little Rock, Arkansas, licensed in Arkansas (10428-M) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710568910

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARY GRACE MACONCredential: LMSW

Location Address12921 CANTRELL RD STE 105Little Rock, AR 72223-1798

Mailing Address12921 Cantrell Rd Ste 105Little Rock, AR 72223-1798 · (501) 891-5492

Phone(501) 891-5492

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 19, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1710568910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in AR · 10428-M

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

12921 CANTRELL RD STE 105, Little Rock, AR 72223

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Grace Macon Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173052826

PECOS Enrollment IDI20250124000291

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.

Other Providers at the Same Location NPPES 18

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

SAVANNAH CALLIE COE LCSW

Social Worker (Clinical)