MR. CHANCEY JAMAAL DALE (NPI# 1518970730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518970730 |
| Entity Type | Individual |
| Full Name | MR. CHANCEY JAMAAL DALE |
| Credential | CASE MANAGER/MHPP |
| Practice Address |
6210 Dollarway Rd Suite 4 Pine Bluff AR 71602-3733 |
| Practice Telephone | 8702473588 |
| Practice Fax Number | 8702472072 |
| Mailing Telephone | 8702473588 |
| Mailing Fax Number | 8702472072 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
N/A | Behavioral Health & Social Service Providers |
| Street Address |
6210 DOLLARWAY RD SUITE 4 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71602-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595995 | Eddie B Carr | Social Worker | 6210 Dollarway Rd, Suite4, Pine Bluff, AR 71602-3733 | 2006-08-15 |
| 1538598883 | Sabrina Hampton | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2013-11-07 |
| 1093089708 | Katherine Reynolds | Social Worker | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2012-02-27 |
| 1285907675 | Timmie Moore | Case Manager/Care Coordinator | 6210 Dollarway Rd, Suite #4, Pine Bluff, AR 71602-3733 | 2012-02-15 |
| 1144508532 | John Ridgle | Case Manager/Care Coordinator | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2011-08-02 |
| 1417247016 | Patricia A Davis | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2011-04-15 |
| 1457658767 | Melissa Henry-mack | Counselor | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2011-02-23 |
| 1306015110 | Kasi B. Townes | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2008-02-26 |
| 1699845818 | Uhs of Benton, Inc. | Clinic/Center | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2006-11-08 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821513730 | Alma Carroll | Counselor | 620 S. Laurel Street, Pine Bluff, AR 71601-4859 | 2017-08-11 |
| 1952546194 | Karen Marie Appleget | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2008-12-02 |
| 1013167089 | Barbara D Smith | Counselor | 3004 W 34th Ave, Pine Bluff, AR 71603-5502 | 2008-09-25 |
| 1649445651 | Nannette Turner | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2008-04-30 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| 1710177878 | Cheryl Ann Wessell | Counselor | 3006 S Olive St, Pine Bluff, AR 71603-5438 | 2007-07-25 |
| 1093339137 | Rosalind Wallace | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1619509916 | Reginald Pace | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-02-05 |
| 1336786946 | Robyne Watley | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| 1891332508 | Brionna Davis | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71602 |
Please comment or provide details below to improve the information on MR. CHANCEY JAMAAL DALE.
| 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.