AUSTIN TISDALE (NPI# 1508348319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508348319 |
| Entity Type | Individual |
| Full Name | AUSTIN TISDALE |
| Practice Address |
2002 S Fillmore St Little Rock AR 72204-4909 |
| Mailing Address |
1600 Aldersgate Rd Ste 200 Little Rock AR 72205-6676 |
| Practice Telephone | 5019064928 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 8815-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
2002 S FILLMORE ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1982227922 | Beverly Burse | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2020-05-26 |
| 1336793215 | Elizabeth Grobmyer | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2019-07-29 |
| 1790252690 | Antoinette Beasley | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2018-10-29 |
| 1720595416 | Vicky Baker | Social Worker | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2018-01-04 |
| 1164944344 | Tiffany Dobson | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2017-07-10 |
| 1790220036 | Kimberla Valley | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-12-22 |
| 1316494560 | Tanya Seward | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-09-06 |
| 1316309271 | Jujuana Yenette Haywood | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-03-22 |
| 1992164263 | Cathy Lynn Staton | Psychologist | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 1164068961 | Vanessa Perdue Brill | Social Worker | 4224 Shuffield Dr., Little Rock, AR 72205-7199 | 2019-11-27 |
| 1194201400 | Leshia Fox | Social Worker | 4224 Shuffield Dr, Little Rock, AR 72205-7211 | 2018-07-19 |
| 1700237658 | Nolan C Kordsmeier | Social Worker | 1 Innwood Cir Ste 108, Little Rock, AR 72211-2448 | 2016-06-22 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1245656156 | Dana Harrison | Social Worker | 14501 Woodcreek Dr, Little Rock, AR 72211-2934 | 2014-03-16 |
| 1093140691 | Priscilla Veronica Ybarra | Social Worker | 715 Wright Ave Apt B, Little Rock, AR 72206-1256 | 2013-09-13 |
| 1033484605 | Dominik Morton | Social Worker | 11700 Kanis Rd Ste 2, Little Rock, AR 72211-3794 | 2012-03-15 |
| 1043589989 | Ruby J Walker | Social Worker | 4708 Timberland Dr, Little Rock, AR 72204-8144 | 2011-12-21 |
| 1205135621 | Rita Peaster | Social Worker | 1924 Franklin St, Little Rock, AR 72204-3782 | 2011-03-24 |
| 1083913065 | Crystal Dawn Zehm | Social Worker | 305 S Palm, Arkansas State Hospital, Little Rock, AR 72205 | 2011-03-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.