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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN LARK SHASTEEN, LCSW

Active Sole Proprietor

JOHN LARK SHASTEEN, LCSW is a Clinical Social Worker healthcare provider located in BENTONVILLE, Arkansas. NPI 1871525071 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BENTONVILLE, AR

Registration Details

NPI Number
1871525071
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (19.957736081151 yrs)
Last Updated
Jun 16, 2018
License
C-1285 (AR)
Sole Proprietor
Yes

Practice Information

Address
1803 SW REGIONAL AIRPORT BLVD STE 5
BENTONVILLE, AR, 727128792
Browse AR providers · Browse ZIP 72712
Phone
4798768626
Fax
4798768636
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
SHERYLL ANN HARBAUGH LCSW 1972698041
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.