JESSICA BENNETT (NPI# 1902219587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902219587 |
| Entity Type | Individual |
| Full Name | JESSICA BENNETT |
| Credential | LCSW |
| Practice Address |
216 Olive St Texarkana AR 71854-5932 |
| Mailing Address |
216 Olive St #212 Texarkana AR 71854-5932 |
| Practice Telephone | 9037085761 |
| Practice Fax Number | 8447065741 |
| Mailing Telephone | 9037085761 |
| Mailing Fax Number | 8447065741 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 202688795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
| 1275011223 | Jessica Bennett | Dietitian, Registered | 1211 21st Ave South 607 Mab, Nashville, TN 37232-1320 | 2018-08-01 |
| 1538675079 | Jessica Bennett | Behavioral Analyst | 7050 W 107th St Ste 110, Overland Park, KS 66212-1829 | 2017-12-20 |
| 1578014072 | Jessica Bennett | Emergency Medical Technician, Intermediate | 25 Se Wanapa St, Cascade Locks, OR 97014-7002 | 2016-10-19 |
| 1306396197 | Jessica Dale Bennett | Occupational Therapy Assistant | 6401 Ohio Dr, Plano, TX 75024-6700 | 2016-10-05 |
| 1033667803 | Jessica Lee Bennett | Specialist/Technologist | 134 N Rose St, Baltimore, MD 21224-1152 | 2016-09-21 |
| 1821483025 | Jessica Lynn Bennett | Registered Nurse | 3020 Children's Way, Mc 5008, San Diego, CA 92123 | 2015-04-03 |
| 1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
| 1679811855 | Jessica A Bennett | Counselor | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2013-01-23 |
| Street Address |
216 OLIVE ST |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173401 | Moonbrook Mind & Body Integrative Services Incorporated | Clinic/Center | 216 Olive St, Texarkana, AR 71854-5932 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| 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 |
|---|---|---|---|---|
| 1366772386 | Kizer Contrel Neal | Social Worker | 4613 Parkway Dr Ste 5, Texarkana, AR 71854-1142 | 2010-01-14 |
| 1104941319 | Terrance Delores Brewer | Social Worker | 4425 Jefferson Ave Ste 106, Texarkana, AR 71854-1529 | 2007-03-20 |
| 1679679070 | Kimberly Lyn Baggett | Social Worker | 4096 Summerhill Square, Texarkana, TX 75503 | 2006-09-15 |
| 1578066452 | Rebecca Ann Liles | Social Worker | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-03-16 |
| 1538673140 | Kristine Johansson Yells | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-11-20 |
| 1558738021 | Raelyn Hardee | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2015-08-31 |
| 1326461872 | David Alexander Dean | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854 | 2014-02-03 |
| 1285060012 | Danette Allen | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2013-09-25 |
| 1073892634 | Terri A Rowe | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2011-08-12 |
| 1760789622 | Castain Alfred IIi | Social Worker | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2011-02-11 |
| Find all providers in TEXARKANA | ||||
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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.