MRS. CARISSA DAWN EDGAR (NPI# 1356618623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356618623 |
| Entity Type | Individual |
| Full Name | MRS. CARISSA DAWN EDGAR |
| Credential | LCSW |
| Practice Address |
1815 Pleasant Grove Road Jonesboro AR 72401 |
| Mailing Address |
2909 King St Ste A Jonesboro AR 72401-5326 |
| Practice Telephone | 8709336886 |
| Practice Fax Number | 8709339395 |
| Mailing Telephone | 8708973042 |
| Mailing Fax Number | 8703823025 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6884-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 189554795 | 05 |
| Street Address |
1815 PLEASANT GROVE ROAD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770535569 | Families, Inc of Arkansas | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72401 | 2006-05-17 |
| 1265050512 | Rossie Goolsby | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-07-13 |
| 1922634161 | Steven Austin Harmon | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-03-19 |
| 1225664469 | David Jake Emery | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-03-19 |
| 1740836030 | Shonna Marie Arnold | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2019-08-13 |
| 1003468380 | Kiara Danyel Griffin | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2019-07-16 |
| 1942720669 | Ashley Michelle Puckett | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72404 | 2017-06-23 |
| 1477081669 | Shawn Michael Canty | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72401 | 2017-06-01 |
| 1205376209 | Laura Harmon | Social Worker | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2017-02-24 |
| 1164964656 | Amy Renee Williams | Social Worker | 1815 Pleasant Grove Road, Jonesboro, AR 72404 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1144889775 | Tiajuana Dillard | Social Worker | 267 Water Oak Ln, Jonesboro, GA 30238-8604 | 2019-06-07 |
| 1336633387 | Center for Eating Disorders and Behavioral Wellness Plc | Social Worker | 225 S Main St Ste 102, Jonesboro, AR 72401 | 2018-06-21 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1699138156 | Yanic Jean-jacques | Social Worker | 803 Leesburg Pl, Jonesboro, GA 30236-5571 | 2016-04-01 |
| 1497110043 | Keena Michelle Reddin | Social Worker | 218 Union St Ste C, Jonesboro, AR 72401-2831 | 2015-12-28 |
| 1982078267 | Jamie Mahaffey | Social Worker | 2304 Fairwood Cir, Jonesboro, GA 30236-5280 | 2015-11-24 |
| 1932581386 | Lajoya Mcdonald | Social Worker | 307 N Bridge St Apt B, Jonesboro, AR 72401-2130 | 2015-06-22 |
| 1508298290 | Paracare, LLC | Social Worker | 110 N Bend Ct, Jonesboro, GA 30238-5637 | 2013-08-05 |
| 1174955918 | Epiphany Counseling Guidance and Treatment Services | Social Worker | 8482 Highway 85, Ste A, Jonesboro, GA 30238-4308 | 2013-08-04 |
| 1528340767 | Pat Walls | Social Worker | 3009 Turman Dr Ste A, Jonesboro, AR 72404-8997 | 2011-09-14 |
| Find all providers in JONESBORO | ||||
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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.