PAT WALLS (NPI# 1528340767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528340767 |
| Entity Type | Individual |
| Full Name | PAT WALLS |
| Credential | LMSW |
| Practice Address |
3009 Turman Dr Ste A Jonesboro AR 72404-8997 |
| Practice Telephone | 8702688875 |
| Practice Fax Number | 8702688695 |
| Mailing Telephone | 8702688875 |
| Mailing Fax Number | 8702688695 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
762-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
3009 TURMAN DR STE A |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-8997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488636 | David Smith | Case Manager/Care Coordinator | 3009 Turman Dr Ste A, Jonesboro, AR 72404-8997 | 2013-07-01 |
| 1588941546 | Mary Williams | Case Manager/Care Coordinator | 3009 Turman Dr Ste A, Jonesboro, AR 72404-8997 | 2011-11-04 |
| 1851677595 | Ashley Ray | Case Manager/Care Coordinator | 3009 Turman Dr Ste A, Jonesboro, AR 72404-8997 | 2011-10-26 |
| 1861776338 | Adam Watkins | Counselor | 3009 Turman Dr Ste A, Jonesboro, AR 72404-8997 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| 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 |
|---|---|---|---|---|
| 1144889775 | Tiajuana Dillard | Social Worker | 267 Water Oak Ln, Jonesboro, GA 30238-8604 | 2019-06-07 |
| 1336633387 | Center for Eating Disorders and Behavioral Wellness Plc | Social Worker | 225 S Main St Ste 102, Jonesboro, AR 72401 | 2018-06-21 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1699138156 | Yanic Jean-jacques | Social Worker | 803 Leesburg Pl, Jonesboro, GA 30236-5571 | 2016-04-01 |
| 1497110043 | Keena Michelle Reddin | Social Worker | 218 Union St Ste C, Jonesboro, AR 72401-2831 | 2015-12-28 |
| 1982078267 | Jamie Mahaffey | Social Worker | 2304 Fairwood Cir, Jonesboro, GA 30236-5280 | 2015-11-24 |
| 1932581386 | Lajoya Mcdonald | Social Worker | 307 N Bridge St Apt B, Jonesboro, AR 72401-2130 | 2015-06-22 |
| 1508298290 | Paracare, LLC | Social Worker | 110 N Bend Ct, Jonesboro, GA 30238-5637 | 2013-08-05 |
| 1174955918 | Epiphany Counseling Guidance and Treatment Services | Social Worker | 8482 Highway 85, Ste A, Jonesboro, GA 30238-4308 | 2013-08-04 |
| 1538453642 | Jessica Nicole Reed | Social Worker | 500 W Washington Ave Ste 220, Jonesboro, AR 72401-2780 | 2011-06-06 |
| Find all providers in JONESBORO | ||||
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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.