WHOLE LIFE SERVICES (NPI# 1144579947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144579947 |
| Entity Type | Organization |
| Organization Name | WHOLE LIFE SERVICES |
| Practice Address |
4008 Kisner Cir Springdale AR 72762-6618 |
| Practice Telephone | 4799250122 |
| Mailing Telephone | 4799250122 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | MRS. RANDI DIANE HADDOCK (OWNER) |
| Authorized Official Telephone | 4799250122 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WHOLE LIFE SERVICES, INC. | 4414 N Haight St, Portland, OR 97217 |
| Oregon Corporations, Companies and Business Names | WHOLE LIFE SERVICES, INC. | 4414 N Haight St, Portland, OR 97217 |
| Street Address |
4008 KISNER CIR |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235513391 | Dasen Moore | Social Worker | 2810 Berrywood Ln, Springdale, MD 20774-7508 | 2015-07-17 |
| 1225327158 | Maxine Akai | Social Worker | 3806 Asquith Ct, Springdale, MD 20774-5453 | 2011-03-31 |
| 1972751170 | Jonathan Watts | Social Worker | 6801 Isaacs Orchard Rd Ste 207, Springdale, AR 72762-6799 | 2008-09-03 |
| 1386809218 | Kelly Marie Eledge | Social Worker | 3895 George Anderson Rd, Springdale, AR 72764-8251 | 2008-07-21 |
| 1922286160 | Carla Brown | Social Worker | 2400 S. 48th St., Springdale, AR 72762 | 2008-02-08 |
| 1942496302 | Debra Jo Brooks | Social Worker | 801 Carlton, Springdale, AR 72762 | 2007-09-19 |
| 1356460844 | Shirley Ann Thompkins | Social Worker | 9400 Ardwick Ardmore Rd, Springdale, MD 20774-2522 | 2007-03-28 |
| 1396782942 | Carole Marie Schuster | Social Worker | 4960 Springhouse Dr, Springdale, AR 72762-7261 | 2006-06-01 |
| 1528572674 | Cris Antonia Arias | Social Worker | 614 E Emma Ave, Springdale, AR 72764-4634 | 2017-11-28 |
| 1700300290 | Kimberly Vaught | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2017-07-27 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on WHOLE LIFE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.