PATRICIA EDWARDS (NPI# 1508930504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508930504 |
| Entity Type | Individual |
| Full Name | PATRICIA EDWARDS |
| Credential | LCSW |
| Practice Address |
1502 Mary Kay Ave. Benton AR 72015 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2078-C | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116519 | Patricia Nancy Edwards | Social Worker | 4106 Wilder Road Ste 337, Bay City, MI 48706-2239 | 2018-06-01 |
| 1801137005 | Patricia R Edwards | Speech-Language Pathologist | 1810 E Beltline Ave Se, Devos Communications Center, 225a, Grand Rapids, MI 49546-5951 | 2013-03-13 |
| 1699073593 | Patricia A Edwards | Counselor | 4041 N Richards St, Milwaukee, WI 53212-1232 | 2011-03-02 |
| 1528375797 | Patricia Ann Edwards | Counselor | 801 Perkins Ridge Rd, Auburn, ME 04210-9127 | 2010-09-08 |
| 1144465501 | Patricia W Edwards | Pharmacist | 4561 Fountain Drive, Marietta, GA 30067 | 2008-12-12 |
| 1053576637 | Patricia Guin Edwards | Technician/Technologist | 1336 Gaskins Rd, Richmond, VA 23238-4919 | 2008-07-23 |
| 1992888945 | Patricia Ann Edwards | Nurse Practitioner | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2006-10-23 |
| 1851402978 | Patricia Janice Edwards | Social Worker | 950 Taylor Ave Ste 100, Grand Haven, MI 49417-2281 | 2006-08-31 |
| 1679687719 | Patricia Ann Edwards | Physician Assistant | 4002 S Loop 256 Ste K, Palestine, TX 75801-8402 | 2006-08-18 |
| 1740897305 | Patricia Edwards | Pharmacist | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2014 | 2020-09-28 |
| Street Address |
1502 MARY KAY AVE. |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379935 | Reach Behavioral Health | Social Worker | 17724 Interstate 30 N, Benton, AR 72019-2907 | 2019-04-25 |
| 1144735713 | Samantha Durietz | Social Worker | 8501 Valley Rd, Benton, IL 62812-4103 | 2017-12-05 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1497041321 | Laquita Shana Norris | Social Worker | 1920 Congo Rd Ste A, Benton, AR 72015-2884 | 2011-06-20 |
| 1376784686 | Arkansas Elder Solutions | Social Worker | 812 W Cross St, Benton, AR 72015-3628 | 2009-03-16 |
| 1902011000 | Eric Ty Crutchfield | Social Worker | 1502 Mary Kay Ave, Benton, AR 72015 | 2007-05-11 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1295870640 | Holly Crutchfield | Social Worker | 17680 Interstate 30 N, Ste 1, Benton, AR 72019-2921 | 2007-02-21 |
| 1346323227 | Carol G Smith | Social Worker | 83 Wellness Way Fl 2, Benton, KY 42025-7156 | 2006-10-23 |
| 1891880258 | Andrea J King | Social Worker | 100 Rivendell Drive, Benton, AR 72015 | 2006-10-03 |
| 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.