AMY BASSAREAR (NPI# 1407216138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407216138 |
| Entity Type | Individual |
| Full Name | AMY BASSAREAR |
| Credential | LMSW |
| Practice Address |
1500 N Mount Olive St Ste 1 Siloam Springs AR 72761 |
| Mailing Address |
614 E Emma Ave Ste 300 Springdale AR 72764-4469 |
| Practice Telephone | 4795248175 |
| Practice Fax Number | 4795248176 |
| Mailing Telephone | 4797517417 |
| Mailing Fax Number | 4797514898 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8980-C | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3715 N Business Dr Ste 104, Fayetteville, AR 72703 | 4795211532 | |
| 500 S Mount Olive St Ste 200, Siloam Springs, AR 727613602 | 4795249550 | 4795249552 |
| Street Address |
1500 N MOUNT OLIVE ST STE 1 |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790344109 | Rachel Reich | Nurse Practitioner | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761-9509 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| 1255613444 | Erin Raber | Pharmacist | 440 Hwy 412 East, Siloam Springs, AR 72761 | 2011-09-13 |
| Find all providers in zip 72761 | ||||
| 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 |
|---|---|---|---|---|
| 1740582311 | Kristie D Morgan | Social Worker | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2010-12-02 |
| 1477582864 | Charles Matthew Plummer | Social Worker | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1609487826 | Gloria Jean Davis | Social Worker | 1804 N Porter St, Stuttgart, AR 72160-2640 | 2020-08-11 |
| 1457969735 | Britt Kristin Gjeruldsen | Social Worker | 9610 E Plentywood Rd, Bentonville, AR 72712-8828 | 2020-07-22 |
| 1083222756 | Prosper Counseling & Consulting Services, Pllc | Social Worker | 8 Shackleford Plz Ste 316, Little Rock, AR 72211-1852 | 2020-07-20 |
| 1598381253 | Jillian Carlan Counseling Pllc | Social Worker | 10515 W Markham St # 3, Little Rock, AR 72205-2297 | 2020-06-18 |
| 1972126829 | Jessica Chandler-zabih | Social Worker | 8401 Ranch Blvd, Little Rock, AR 72223-4402 | 2020-05-27 |
| 1184243362 | Counseling & Family Therapy Center, LLC | Social Worker | 213 W Rush Ave, Harrison, AR 72601-4220 | 2020-04-08 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1225662190 | Felix E Pekar | Social Worker | 1010 Rock St, Little Rock, AR 72202-5111 | 2020-02-28 |
| 1063045458 | Judy Michelle Jacobs | Social Worker | 103 Bullard, Manila, AR 72442-8216 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
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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.