RUSSELL E DEGROAT (LCSW) – Clinical Social Worker, NPI 1053675686

RUSSELL E DEGROAT (LCSW) is a healthcare provider. based in Springdale, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 6549-C (AR). The NPI Number for RUSSELL E DEGROAT (LCSW) is 1053675686

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL E DEGROAT (LCSW)
NPI
1053675686
Phone
(479) 750-2020
Address
2400 S 48TH ST
Enumeration Date
28 June 2012
Last Update Date
23 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797502020
Graduation Year
2012 (14 years ago)
PAC ID
9436470150
Group Practice PAC ID
7214833730
Professional Enrollment ID
I20150608000280
Address ID
AR727626683SP2400XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for RUSSELL E DEGROAT (LCSW)

  • 2400 S 48TH ST

    SPRINGDALE, AR 727626683

    Phone: (479) 750-2020

    Fax: (479) 750-4843

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150608000280IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17128$0
90834Psychotherapy, 45 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 72762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214833730View full group profile
NameSpecialtyState
Mental Health CounselorAR
Clinical Social WorkerAR
-AR
-AR
-AR
-AR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is RUSSELL E DEGROAT (LCSW)'s NPI number?
RUSSELL E DEGROAT (LCSW)'s NPI is 1053675686 — the number used across U.S. healthcare to identify this provider.
Is there an active status for RUSSELL E DEGROAT (LCSW)?
For scheduling context, RUSSELL E DEGROAT (LCSW) is shown as active in the registry.
What kind of doctor is RUSSELL E DEGROAT (LCSW)?
RUSSELL E DEGROAT (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is RUSSELL E DEGROAT (LCSW) located near Springdale?
RUSSELL E DEGROAT (LCSW) currently maps to Springdale, Arkansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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