HOLLY CRUTCHFIELD (NPI# 1295870640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295870640 |
| Entity Type | Individual |
| Full Name | HOLLY CRUTCHFIELD |
| Credential | LCSW |
| Practice Address |
17680 Interstate 30 N Ste 1 Benton AR 72019-2921 |
| Practice Telephone | 5015752344 |
| Mailing Telephone | 5015752344 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2159-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
17680 INTERSTATE 30 N STE 1 |
| City | BENTON |
| State | AR |
| Zip Code | 72019-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| 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 |
|---|---|---|---|---|
| 1093379935 | Reach Behavioral Health | Social Worker | 17724 Interstate 30 N, Benton, AR 72019-2907 | 2019-04-25 |
| 1144735713 | Samantha Durietz | Social Worker | 8501 Valley Rd, Benton, IL 62812-4103 | 2017-12-05 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1497041321 | Laquita Shana Norris | Social Worker | 1920 Congo Rd Ste A, Benton, AR 72015-2884 | 2011-06-20 |
| 1376784686 | Arkansas Elder Solutions | Social Worker | 812 W Cross St, Benton, AR 72015-3628 | 2009-03-16 |
| 1902011000 | Eric Ty Crutchfield | Social Worker | 1502 Mary Kay Ave, Benton, AR 72015 | 2007-05-11 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1508930504 | Patricia Edwards | Social Worker | 1502 Mary Kay Ave., Benton, AR 72015 | 2006-11-20 |
| 1346323227 | Carol G Smith | Social Worker | 83 Wellness Way Fl 2, Benton, KY 42025-7156 | 2006-10-23 |
| 1891880258 | Andrea J King | Social Worker | 100 Rivendell Drive, Benton, AR 72015 | 2006-10-03 |
| Find all providers in BENTON | ||||
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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.