Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANIE RAY SHADE, LCSW
Active Sole ProprietorJEANIE RAY SHADE, LCSW is a Clinical Social Worker healthcare provider located in BENTONVILLE, Arkansas. NPI 1659048809 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BENTONVILLE, AR
Registration Details
- NPI Number
- 1659048809
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2021 (4.9886591899156 yrs)
- Last Updated
- Dec 6, 2023
- License
-
12579-C (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 SE 28TH STBENTONVILLE, AR, 727123205Browse AR providers · Browse ZIP 72712
- Phone
- 4794032915
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BENTONVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| SHARON A ODOM | LCSW | 1033196324 |
| MRS. KATHLEEN SIEGENTHALER | LCSW | 1619942539 |
| AMANDA LEE SCHROEDER | LCSW | 1407899099 |
| DENISE MARY FITZGERALD | LCSW | 1669415139 |
| DOUGLAS SPENCER MONSON | LCSW | 1104855527 |
| JOHN LARK SHASTEEN | LCSW | 1871525071 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.