JORDAN LUCUS MASTERSON (NPI# 1194366294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194366294 |
| Entity Type | Individual |
| Full Name | JORDAN LUCUS MASTERSON |
| Practice Address |
353 E 8th St Mountain Home AR 72653-4423 |
| Mailing Address |
Po Box 299 Hoxie AR 72433-0299 |
| Practice Telephone | 8707015141 |
| Practice Fax Number | 8707015177 |
| Mailing Telephone | 8708861333 |
| Mailing Fax Number | 8708861334 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 9677-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
353 E 8TH ST |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053596403 | Amy Sandell | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2008-01-04 |
| 1083211882 | Miranda Lauren Reynolds | Case Manager/Care Coordinator | 353 E 8th St, Mountain Home, AR 72653-4423 | 2020-10-05 |
| 1073167300 | Laura E Jarrett | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2019-07-25 |
| 1184277089 | Jacob Riley | Case Manager/Care Coordinator | 353 E 8th St, Mountain Home, AR 72653-4423 | 2019-07-19 |
| 1902372774 | Hometown Behavioral Health Services of Arkansas, Inc | Counselor | 353 E 8th St, Mountain Home, AR 72653-4423 | 2018-10-19 |
| 1255841599 | Lanell Renee Amanda Barton | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2017-09-30 |
| 1841602141 | Shannon Caraway | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2014-05-21 |
| 1801143292 | Allyson Maree Campbell | Social Worker | 353 E 8th St, Mountain Home, AR 72653-4423 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1972958643 | Dawn Ranae Juker | Social Worker | 441 Nw Heron Ave, Mountain Home, ID 83647-2444 | 2016-04-29 |
| 1801147152 | Melissa Sam Davis | Social Worker | Corner of Veterans Way and Lamont Street, James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2012-09-26 |
| 1083975403 | Emily Erin Conklin | Social Worker | Building 69, Dogwood Ave., Mountain Home, TN 37684 | 2012-06-01 |
| 1285963249 | Faramarz Shahinpori | Social Worker | # 8 Medical Plaza, Mountain Home, AR 72653 | 2009-12-21 |
| 1699913855 | Lakeshia Hasten | Social Worker | Corner of Sydney & Lamont St., Mountain Home, TN 37684 | 2009-01-27 |
| 1811135106 | Heidi Vivian Bailey | Social Worker | 8 Dogwood Ave, Mountain Home, TN 37684 | 2009-01-26 |
| 1770721045 | Peggy A Willingham | Social Worker | 100 Corner of Sidney & Lamont, Mountain Home, TN 37684 | 2009-01-26 |
| 1003054446 | Tina Davenport Rowland | Social Worker | 160 Dogwood Ave, Mountain Home, TN 37684-4000 | 2009-01-22 |
| 1598903924 | Rebecca Michelle Barger | Social Worker | Corner of Sydney and Lamont St, Mountain Home, TN 37684 | 2009-01-22 |
| 1134366628 | Chelsa Jean Wells | Social Worker | 100 Lamont Street, Mountain Home, TN 37684 | 2009-01-21 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on JORDAN LUCUS MASTERSON.
| 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.