EBONE' EDGERSON (NPI# 1508387846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508387846 |
| Entity Type | Individual |
| Full Name | EBONE' EDGERSON |
| Credential | LMSW |
| Practice Address |
109 Frankie Ln White Hall AR 71602-2685 |
| Practice Telephone | (870) 247-3588 |
| Practice Fax Number | 8702472072 |
| Mailing Telephone | 8702473588 |
| Mailing Fax Number | 8702472072 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | AR | Behavioral Health & Social Service Providers |
| Street Address |
109 FRANKIE LN |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71602-2685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336272 | James Bradford Kimbrell | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2007-07-02 |
| 1700420999 | Stephen Witherspoon | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2019-10-31 |
| 1255827655 | Jennifer Fratesi | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-07-09 |
| 1669971057 | Carriell Brown | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-02-12 |
| 1861913105 | Maricha Walker | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2017-06-27 |
| 1124575295 | Glynn Nooner | Counselor | 109 Frankie Ln, White Hall, AR 71602 | 2016-09-07 |
| 1689028144 | Linda Smith | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2016-04-20 |
| 1407227176 | Tequlia Everett | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2015-10-07 |
| 1215343207 | Nikki Thornton | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2014-07-10 |
| 1346677150 | Lamarcus Gaddy | Case Manager/Care Coordinator | 109 Frankie Ln, White Hall, AR 71602-2685 | 2013-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| 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 |
|---|---|---|---|---|
| 1255827655 | Jennifer Fratesi | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2018-07-09 |
| 1861913105 | Maricha Walker | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2017-06-27 |
| 1689028144 | Linda Smith | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2016-04-20 |
| 1407227176 | Tequlia Everett | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2015-10-07 |
| 1215343207 | Nikki Thornton | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2014-07-10 |
| 1114203353 | Ashley Steward | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2011-11-02 |
| 1144501503 | Carey James Dobbins | Social Worker | 109 Frankie Ln, White Hall, AR 71602-2685 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761806 | Sarah Alain Gumm | Social Worker | 701 E Main St Ste 11, Russellville, AR 72801-5209 | 2020-08-18 |
| 1093326027 | Kerri Adams | Social Worker | 4170 W Mlk Blvd Ste 901, Fayetteville, AR 72704-7702 | 2020-08-13 |
| 1467060699 | Open Book Wellness Center LLC | Social Worker | 517 N 14th St Ste 4, Paragould, AR 72450-3550 | 2020-07-14 |
| 1659997260 | Robbin Bannigan Walsh Cochran | Social Worker | 2200 Fort Roots Dr # 2h-156c, North Little Rock, AR 72114-1709 | 2020-06-19 |
| 1164068961 | Vanessa Perdue Brill | Social Worker | 4224 Shuffield Dr., Little Rock, AR 72205-7199 | 2019-11-27 |
| 1336797935 | Courage Therapeutic Riding Center, Inc. | Social Worker | 12922 Hogeye Rd, Prairie Grove, AR 72753-8462 | 2019-08-28 |
| 1386291219 | Sarah Katherine Defries | Social Worker | 102 Sw Larkspur Dr, Walnut Ridge, AR 72476-1736 | 2019-08-26 |
| 1346711181 | Collins Family Services, Pllc | Social Worker | 301 W Searcy St, Heber Springs, AR 72543-3840 | 2018-12-05 |
| 1194201400 | Leshia Fox | Social Worker | 4224 Shuffield Dr, Little Rock, AR 72205-7211 | 2018-07-19 |
| 1144714452 | Kristi Richelle Duff | Social Worker | 2133 Sorrel, Benton, AR 72015-5737 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 71602 |
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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.