CHOSEN ONE PROFESSIONAL SERVICES, LLC. (NPI# 1578129201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578129201 |
| Entity Type | Organization |
| Organization Name | CHOSEN ONE PROFESSIONAL SERVICES, LLC. |
| Practice Address |
819 W 6th Ave Pine Bluff AR 71601-4031 |
| Mailing Address |
Po Box 2028 Pine Bluff AR 71613-2028 |
| Practice Telephone | 8708723676 |
| Mailing Telephone | 8708723676 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | MRS. MELRITA MAECHEL JOHNSON (CEO/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8705199482 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Saint Vincent Cir Ste 330, Little Rock, AR 722055408 | 8708723676 | 5014213418 |
| Street Address |
819 W 6TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013032754 | Melrita Maechel Johnson | Social Worker | 819 W 6th Ave, Pine Bluff, AR 71601-4031 | 2007-03-20 |
| 1174137343 | Reform, Inc. | Clinic/Center | 819 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| 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 |
|---|---|---|---|---|
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1013032754 | Melrita Maechel Johnson | Social Worker | 819 W 6th Ave, Pine Bluff, AR 71601-4031 | 2007-03-20 |
| 1659434215 | Nicole Johnson | Social Worker | 620 South Laurel Street, Pine Bluff, AR 71601 | 2006-12-18 |
| 1144889874 | Rosemary Campbell-white | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-06-06 |
| 1912481938 | Shahidah Salaam | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-09-17 |
| 1225409659 | Lasonja Henry | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-10-12 |
| 1316349749 | Shantell Alexander | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-09-17 |
| 1811396278 | Daria Floyd | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2014-08-21 |
| 1538598883 | Sabrina Hampton | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2013-11-07 |
| 1700211067 | Louise Bailey | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2013-09-05 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
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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.