CHAQUITA EDMOND (NPI# 1154661734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154661734 |
| Entity Type | Individual |
| Full Name | CHAQUITA EDMOND |
| Practice Address |
1014 Autumn Rd Suite 4 Little Rock AR 72211-3704 |
| Practice Telephone | 5012211941 |
| Practice Fax Number | 5012211553 |
| Mailing Telephone | 5012211941 |
| Mailing Fax Number | 5012211553 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1014 AUTUMN RD SUITE 4 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164677639 | Jewel Brown | Case Manager/Care Coordinator | 1014 Autumn Rd, Ste 3, Little Rock, AR 72211-3704 | 2008-11-24 |
| 1326442427 | Christine Rowe | Registered Nurse | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2014-10-17 |
| 1992146609 | Joann Bennett | Case Manager/Care Coordinator | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2013-07-10 |
| 1093153090 | Vicky Henry | Registered Nurse | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2013-06-12 |
| 1013353572 | Leonard O'neal | Case Manager/Care Coordinator | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2013-05-10 |
| 1871837831 | Mercedes Dominique Woods | Social Worker | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2012-11-15 |
| 1073888756 | Judson Mcdaniel | Counselor | 1014 Autumn Rd, Ste 4, Little Rock, AR 72211-3704 | 2012-03-14 |
| 1093080855 | Woodland International Research Group, Inc. | Psychiatric Unit | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2012-03-13 |
| 1982975066 | Kelli Allen | Social Worker | 1014 Autumn Rd, Ste 4, Little Rock, AR 72211-3704 | 2012-01-20 |
| 1174893747 | Lanadia Crockett | Social Worker | 1014 Autumn Rd, Ste 4, Little Rock, AR 72211-3704 | 2012-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068961 | Vanessa Perdue Brill | Social Worker | 4224 Shuffield Dr., Little Rock, AR 72205-7199 | 2019-11-27 |
| 1194201400 | Leshia Fox | Social Worker | 4224 Shuffield Dr, Little Rock, AR 72205-7211 | 2018-07-19 |
| 1700237658 | Nolan C Kordsmeier | Social Worker | 1 Innwood Cir Ste 108, Little Rock, AR 72211-2448 | 2016-06-22 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1245656156 | Dana Harrison | Social Worker | 14501 Woodcreek Dr, Little Rock, AR 72211-2934 | 2014-03-16 |
| 1093140691 | Priscilla Veronica Ybarra | Social Worker | 715 Wright Ave Apt B, Little Rock, AR 72206-1256 | 2013-09-13 |
| 1033484605 | Dominik Morton | Social Worker | 11700 Kanis Rd Ste 2, Little Rock, AR 72211-3794 | 2012-03-15 |
| 1043589989 | Ruby J Walker | Social Worker | 4708 Timberland Dr, Little Rock, AR 72204-8144 | 2011-12-21 |
| 1205135621 | Rita Peaster | Social Worker | 1924 Franklin St, Little Rock, AR 72204-3782 | 2011-03-24 |
| 1083913065 | Crystal Dawn Zehm | Social Worker | 305 S Palm, Arkansas State Hospital, Little Rock, AR 72205 | 2011-03-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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| 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.