SHANTE MORMON LCSW, C-DBT, CGP
NPI 1932823358
Social Worker - Clinical in Little Rock, AR

Active since September 29, 2022PECOS EnrolledAccepts Medicare Assignment
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201(501) 209-7522 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Aug 19, 2024, Jul 1, 2024 and 3 more (6 updates tracked since 2022).

About Shante Mormon Lcsw, C-dbt, Cgp NPPES

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

SHANTE MORMON LCSW, C-DBT, CGP (NPI 1932823358) is an individual clinical provider in Little Rock, Arkansas, licensed in Arkansas (5030-C) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conway, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1932823358
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANTE MORMONCredential: LCSW, C-DBT, CGP
Location Address400 W CAPITOL AVE STE 1700Little Rock, AR 72201-3438
Mailing AddressPo Box 1283Benton, AR 72018-1283 · (501) 209-7522
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 29, 2022
Last NPPES UpdateNovember 30, 20246 updates tracked since enumeration
NPPES CertifiedNovember 30, 2024
✔ NPI 1932823358 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 · 5030-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.
400 W CAPITOL AVE STE 1700, Little Rock, AR 72201

Secondary Practice Location 1

Location 1685 Shelby Trl Ste 105Conway, AR 72034-7169 · Phone (501) 300-9320

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shante Mormon Lcsw, C-dbt, Cgp 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 ID4688030638
PECOS Enrollment IDI20230516003684
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 Reassignments

3

Medicare enrollment records show Shante Mormon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
400 W CAPITOL AVE STE 1700
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
Psychiatry
811 W ELGIN ST
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment
  • 78 clinicians in this Medicare group
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Arkansas enrollment
  • 28 clinicians in this Medicare group

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 72201 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 20

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

Clinic/Center (Rehabilitation)
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
In Home Supportive Care
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
In Home Supportive Care
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201

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 Shante Mormon's NPI number?

The NPI number for Shante Mormon is 1932823358. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Shante Mormon located?

Shante Mormon practices at 400 W Capitol Ave Ste 1700, Little Rock, AR 72201. The listed phone number is (501) 209-7522.

What is Shante Mormon's specialty?

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

Is Shante Mormon enrolled in Medicare?

Yes. Shante Mormon 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.

Which organizations bill Medicare for Shante Mormon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shante Mormon reassigns Medicare benefits to 3 organizations: Life Anew Therapy And Consulting, PLLC (Little Rock, AR), Supportive Psych Care Of Arkansas PA (Siloam Springs, AR) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shante Mormon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shante Mormon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Shante Mormon 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 Shante Mormon was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.