CARISSA BACON (NPI# 1437560679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437560679 |
| Entity Type | Individual |
| Full Name | CARISSA BACON |
| Practice Address |
304 N 6th St West Memphis AR 72301-3221 |
| Mailing Address |
703 Calvin Avery Dr Suite A West Memphis AR 72301-6501 |
| Practice Telephone | 8707321878 |
| Practice Fax Number | 8707027111 |
| Mailing Telephone | 8707927769 |
| Mailing Fax Number | 8707927561 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
304 N 6TH ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700950011 | Life Strategies of Arkansas, LLC | Clinic/Center | 304 N 6th St, West Memphis, AR 72301 | 2006-11-20 |
| 1659911980 | Theresa James | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2020-01-15 |
| 1255987699 | Sarah Bean | Nurse Practitioner | 304 N 6th St, West Memphis, AR 72301-3221 | 2019-08-12 |
| 1942782214 | Shericka Lewis | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2018-09-04 |
| 1134616782 | Jernel Robinson | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2018-04-19 |
| 1235626896 | Robin Venzant | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2018-04-19 |
| 1487161642 | Dianne Glover | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2018-01-09 |
| 1639680804 | Latasha Bell | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-10-16 |
| 1326566324 | Ebony Davis | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-08-30 |
| 1316464084 | Billy Hayes | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1487904082 | Dimonah Sims | Social Worker | 703 Calvin Avery Drive, West Memphis, AR 72301-6501 | 2012-09-12 |
| 1134432602 | Devonda Yvonne Reimonenq | Social Worker | 310 Mid Continent Plz Ste 400, West Memphis, AR 72301-1760 | 2010-07-26 |
| 1861618605 | Dorcas Ann Brazile | Social Worker | 1500 Scottwood St, West Memphis, AR 72301-3318 | 2007-04-18 |
| 1659911980 | Theresa James | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2020-01-15 |
| 1639680804 | Latasha Bell | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-10-16 |
| 1336662865 | Tanja Brown | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-07-17 |
| 1659820918 | Janet Mcclora | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2016-09-28 |
| 1982152328 | Constance Mickens | Social Worker | 304 N 6th St, West Memphis, AR 72301-3221 | 2016-09-14 |
| 1588111595 | Chandra Ellis | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2016-09-07 |
| 1033598263 | Veronica Combs | Social Worker | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2015-05-20 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on CARISSA BACON.
| 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.