MR. R. SCOTT BURCHAM (NPI# 1477968881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477968881 |
Entity Type | Individual |
Full Name | MR. R. SCOTT BURCHAM |
Credential | LCSW |
Practice Address |
3201 W Keiser Ave Osceola AR 72370-3467 |
Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
Practice Telephone | 8706220592 |
Practice Fax Number | 8706220782 |
Mailing Telephone | 8709336886 |
Mailing Fax Number | 8709339395 |
Enumeration Date | 2014-06-24 |
Last Update Date | 2018-05-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 1041C0700X |
Social Worker Specialization: Clinical |
1055-C | AR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BCBS | 50461 | 01 |
Street Address |
3201 W KEISER AVE |
City | OSCEOLA |
State | AR |
Zip Code | 72370-3467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902892052 | Susan Francis | Counselor | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2005-09-23 |
1326650045 | Megan Fountain | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2020-08-24 |
1184250318 | Amber Faulkner | Social Worker | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2020-03-19 |
1649806878 | Vanessa Davis | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2020-03-19 |
1881229813 | Jennifer Ann Langs | Social Worker | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2020-03-10 |
1174163588 | Madallyn Puckett | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2020-01-14 |
1679122634 | Laquita Dominique Selvy | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2019-09-11 |
1912556960 | Marketta Lavette Turner | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2019-09-11 |
1568018851 | Stephanie Lea Lasater | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2019-08-13 |
1487200762 | Savannah Gerra Brewer | Case Manager/Care Coordinator | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2019-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
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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 |
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1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
1942535588 | Jean Faye Evans-williams | Social Worker | 204 Third Ave, Osceola, WI 54020-0817 | 2009-10-15 |
1316427727 | Keelee Brielle Holladay | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2018-08-15 |
1265789465 | Terry Mae Cooper | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2012-08-07 |
1396027710 | Thenaus Williamson | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2011-09-12 |
1659693604 | Joanna Ford | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2010-02-18 |
1285956185 | Cathleen West | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2010-02-18 |
1952578429 | Jamie Dawson | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
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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 |
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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.