MRS. TRACY DONILELLE CONWAY (NPI# 1407176100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407176100 |
| Entity Type | Individual |
| Full Name | MRS. TRACY DONILELLE CONWAY |
| Credential | LMSW |
| Practice Address |
1502 Mary Kay Blvd. Benton AR 72018 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013033100 |
| Mailing Telephone | 5013033100 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2526-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
1502 MARY KAY BLVD. |
| City | BENTON |
| State | AR |
| Zip Code | 72018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578771036 | Maura Rachel Savary | Case Manager/Care Coordinator | 1502 Mary Kay Blvd., Benton, AR 72015 | 2007-05-18 |
| 1609160449 | Antoinette Wilson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd., Benton, AR 72015-8909 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435894 | North Metro Medical | Psychiatric Unit | 1432 Braden Street, Jacksonville, AR 72018 | 2017-02-09 |
| 1144662024 | Sharron Hearn | Case Manager/Care Coordinator | 1718 Old Hot Springs Hwy, Benton, AR 72018 | 2013-07-22 |
| 1881923803 | Matthew L Landers | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72018 | 2009-12-22 |
| 1508917295 | Civitan Center | Day Training, Developmentally Disabled Services | 121 South Cox Street, 121 South Cox Street, Benton, AR 72018-0368 | 2007-01-16 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1306444013 | Marvin Mcmichael | Case Manager/Care Coordinator | 105 Highway 9, Benton, AR 72018-7201 | 2020-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| Find all providers in BENTON | ||||
| 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 |
|---|---|---|---|---|
| 1144714452 | Kristi Richelle Duff | Social Worker | 2133 Sorrel, Benton, AR 72015-5737 | 2018-06-20 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1093197113 | Bridget Shelnut | Social Worker | 8637 Steel Bridge Rd, Benton, AR 72019-1533 | 2015-06-25 |
| 1194163055 | Alicia Kay Mullins | Social Worker | 410 River St, Benton, AR 72015-4206 | 2013-06-12 |
| 1487947867 | Adrienne Leigh Douglas | Social Worker | 105 Cox St, Benton, AR 72015-4611 | 2011-05-18 |
| 1346555851 | Cecilla Trujillo | Social Worker | 1502 Mark Kay Blvd., Benton, AR 72015 | 2010-08-10 |
| 1437399631 | Mary Woodville | Social Worker | 11724 Krislor Dr, Benton, AR 72019-9300 | 2009-02-27 |
| 1326258096 | Natasha Deal | Social Worker | 718 Alcoa Rd, Benton, AR 72015-3406 | 2007-05-23 |
| 1104303353 | Taylor M Davis | Social Worker | 100 Rivendell Dr, Benton, AR 72019 | 2018-07-20 |
| 1326530148 | Sarah Testa | Social Worker | 6701 Highway 67, Benton, AR 72015 | 2018-06-06 |
| Find all providers in BENTON | ||||
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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.