Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William M Leatherwood, LCSW

Individual provider Clinical Social Worker · NPI 1619389871

William M Leatherwood, LCSW is a Clinical Social Worker in Jonesboro, Arkansas. Qualified in 2000, 26 years ago. Practices with Foundation a Wellness Practice, LLC, a 6-clinician group. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

533 W Washington Ave
Jonesboro, AR 72401-2782
Phone: (870) 229-0302
Fax: (870) 520-6482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4692C (AR)

Record details

NPI number1619389871
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 22, 2014
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Foundation A Wellness Practice, Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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