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HOLLY J DE SAMBOURG LCSW
NPI 1811480320
Social Worker - Clinical in Hot Springs, AR

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
101 RHONDA ANN PL, HOT SPRINGS, AR 71909(501) 500-4091(501) 307-1475 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Nov 9, 2023, Feb 16, 2022 (3 updates tracked since 2022).

About Holly J De Sambourg Lcsw NPPES

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

HOLLY J DE SAMBOURG LCSW (NPI 1811480320) is an individual clinical provider in Hot Springs, Arkansas, licensed in Arkansas (8308-C) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hot Springs, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811480320
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY J DE SAMBOURGCredential: LCSW
Location Address101 RHONDA ANN PLHot Springs, AR 71909-9645
Mailing Address101 Rhonda Ann PlHot Springs, AR 71909-9645 · (501) 500-4091 · Fax (501) 307-1475
Phone(501) 500-4091
Fax(501) 307-1475
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2018
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1811480320 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 · 8308-C
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.
101 RHONDA ANN PL, Hot Springs, AR 71909
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 Main St Ste VHot Springs, AR 71913-4964 · Phone (501) 321-8200

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

Holly J De Sambourg Lcsw 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 ID5991199580
PECOS Enrollment IDI20220224001352
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71909 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

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

MINDFUL HEALING THERAPY
Social Worker (Clinical)
101 RHONDA ANN PL
HOT SPRINGS, AR 71909
Garland County (501) 500-4091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly De Sambourg's NPI number?

The NPI number for Holly De Sambourg is 1811480320. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Holly De Sambourg located?

Holly De Sambourg practices at 101 Rhonda Ann Pl, Hot Springs, AR 71909. The listed phone number is (501) 500-4091.

What is Holly De Sambourg's specialty?

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

Is Holly De Sambourg enrolled in Medicare?

Yes. Holly De Sambourg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly De Sambourg accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Holly De Sambourg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly De Sambourg was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.