JONATHAN SCOTT RUSSELL (NPI# 1770069379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770069379 |
| Entity Type | Individual |
| Full Name | JONATHAN SCOTT RUSSELL |
| Credential | LMSW |
| Practice Address |
2126 N 1st St Ste F Jacksonville AR 72076-2868 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 5019825000 |
| Practice Fax Number | 5019825007 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174922447 | Jonathan Michael Russell | Physician Assistant | 705 Oak St Unit 11, Big Rapids, MI 49307-3108 | 2014-08-22 |
| 1396934196 | Jonathan Forrest Russell | Physician Assistant | 221 Ne Main St, Winston, OR 97496-6562 | 2007-10-17 |
| 1336142553 | Jonathan R. Russell | Specialist | 10130 Louetta Rd, Suite G, Houston, TX 77070-2118 | 2005-05-23 |
| 1083265805 | Jonathan Bo Russell | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-09-23 |
| 1689030124 | Jonathan David Russell | Speech-Language Pathologist | 250 Fairview Rd, Thousand Oaks, CA 91361-2456 | 2016-01-14 |
| 1013301910 | Jonathan Foster Russell | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2015-03-27 |
| 1558576546 | Jonathan Russell | Optometrist | 12100 Se Stevens Ct, Suite 106, Clackamas, OR 97086-4707 | 2007-05-11 |
| Street Address |
2126 N 1ST ST STE F |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073529491 | Andrea Stiles | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2006-07-31 |
| 1548861180 | Terrill A Taylor | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-11-02 |
| 1437756376 | Rickeal Nelson | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1346847290 | Kayla Daniell Carter | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1720694250 | Whitney Jenkins | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-09-21 |
| 1598377210 | Kodi Carroll Avera | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-08-24 |
| 1114553351 | Denisse Pollo | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1649806886 | Latoya Williams | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1053944496 | Pamela Sue Bagwell | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-02-13 |
| 1396385712 | Avanlea Furr | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| 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 |
|---|---|---|---|---|
| 1326653718 | Regina Sherman | Social Worker | 10135 Gate Pkwy N Suite 1516, Jacksonville, FL 32246-8267 | 2020-09-11 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1790325199 | Brittany Barrett | Social Worker | 1526 Parental Home Rd, Jacksonville, FL 32216-3010 | 2020-01-14 |
| 1215592654 | Giana Marie Bobka | Social Worker | 3831 Forest Blvd, Jacksonville, FL 32246-6474 | 2019-05-01 |
| 1063979532 | Morgan E Phoebus | Social Worker | 209 Sage Pl, Jacksonville, NC 28540-3109 | 2019-02-20 |
| 1629549290 | Christina Roman | Social Worker | 6810 Long Meadow Cir S, Jacksonville, FL 32244-6177 | 2018-12-07 |
| 1356826549 | Shecolby Sims | Social Worker | 11640 Tanager Dr, Jacksonville, FL 32225-2565 | 2018-10-03 |
| 1275023558 | Vernell King | Social Worker | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-13 |
| 1316436660 | Sheronda Nicole Holzendorf | Social Worker | 5559 Verbena Rd, Jacksonville, FL 32209-2418 | 2018-05-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.