THERON WINONA MCCALLUM (NPI# 1720645906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720645906 |
| Entity Type | Individual |
| Full Name | THERON WINONA MCCALLUM |
| Practice Address |
209 S Lockard St Blytheville AR 72315-2541 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8707632139 |
| Practice Fax Number | 8709635056 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2419-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
209 S LOCKARD ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850266 | Margaret R. Singleton | Psychiatry & Neurology | 209 S Lockard St, Blytheville, AR 72315-2541 | 2005-06-09 |
| 1720606254 | Donna R Brown | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2020-07-10 |
| 1578114419 | Tiffany Danielle Cooper | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-09-23 |
| 1144872078 | Stephanie Rochelle Williams | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-07-11 |
| 1699236554 | Syreeta Delphene Dawkins | Counselor | 209 S Lockard St, Blytheville, AR 72315-2541 | 2019-03-25 |
| 1467927319 | Kimberly Diane Nelson | Counselor | 209 S Lockard St, Blytheville, AR 72315-2541 | 2018-10-08 |
| 1376041855 | Amber Sade Slater | Licensed Practical Nurse | 209 S Lockard St, Blytheville, AR 72315-2541 | 2018-01-30 |
| 1861905713 | Shamana Brook Hill | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2017-11-14 |
| 1205365046 | Audra Pierce | Social Worker | 209 S Lockard St, Blytheville, AR 72315-2541 | 2017-06-06 |
| 1689920696 | Leighanna M Collins | Case Manager/Care Coordinator | 209 S Lockard St, Blytheville, AR 72315-2541 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| 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 |
|---|---|---|---|---|
| 1013380351 | We Care & We Deliver, Inc. | Social Worker | 1521 N 10th St, Suite D, Blytheville, AR 72315-1405 | 2015-11-09 |
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|---|---|---|---|---|
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1609487826 | Gloria Jean Davis | Social Worker | 1804 N Porter St, Stuttgart, AR 72160-2640 | 2020-08-11 |
| 1457969735 | Britt Kristin Gjeruldsen | Social Worker | 9610 E Plentywood Rd, Bentonville, AR 72712-8828 | 2020-07-22 |
| 1083222756 | Prosper Counseling & Consulting Services, Pllc | Social Worker | 8 Shackleford Plz Ste 316, Little Rock, AR 72211-1852 | 2020-07-20 |
| 1598381253 | Jillian Carlan Counseling Pllc | Social Worker | 10515 W Markham St # 3, Little Rock, AR 72205-2297 | 2020-06-18 |
| 1972126829 | Jessica Chandler-zabih | Social Worker | 8401 Ranch Blvd, Little Rock, AR 72223-4402 | 2020-05-27 |
| 1184243362 | Counseling & Family Therapy Center, LLC | Social Worker | 213 W Rush Ave, Harrison, AR 72601-4220 | 2020-04-08 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1225662190 | Felix E Pekar | Social Worker | 1010 Rock St, Little Rock, AR 72202-5111 | 2020-02-28 |
| 1063045458 | Judy Michelle Jacobs | Social Worker | 103 Bullard, Manila, AR 72442-8216 | 2020-02-13 |
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| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.