REAGAN FUNKHOUSER (NPI# 1639339534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639339534 |
| Entity Type | Individual |
| Full Name | REAGAN FUNKHOUSER |
| Credential | LCSW |
| Practice Address |
1106 Poplar Pl Rogers AR 72756-4249 |
| Mailing Address |
2809 Forest Home Rd Jonesboro AR 72401-5320 |
| Practice Telephone | 4793726464 |
| Practice Fax Number | 4793726460 |
| Mailing Telephone | 8669721268 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1958-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
1106 POPLAR PL |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343947 | Sarah Runnells | Social Worker | 1106 Poplar Pl, Rogers, AR 72756-4249 | 2020-07-08 |
| 1467084384 | Laura L Williams | Nurse Practitioner | 1106 Poplar Pl, Rogers, AR 72756-4249 | 2020-02-08 |
| 1437706884 | Kevin Kirkpatrick Sr. | Counselor | 1106 Poplar Pl, Rogers, AR 72756-4249 | 2019-08-21 |
| 1134504947 | Leslie Roberts | Counselor | 1106 Poplar Pl, Rogers, AR 72756-4249 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| 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 |
|---|---|---|---|---|
| 1821603853 | Sara Elizabeth Johnson | Social Worker | 13902 Savanna Dr, Rogers, MN 55374-4838 | 2020-09-15 |
| 1942853791 | Brenda Veach Zedlitz | Social Worker | 5411 S Bent Tree Dr, Rogers, AR 72758-8647 | 2019-07-22 |
| 1760838999 | Kimberly Buck | Social Worker | 2303 Beacon Circle Drive, Rogers, AR 72758-6433 | 2016-05-06 |
| 1548653843 | Rogers Counseling Services, Inc. | Social Worker | 2303 W Beacon Circle Dr, Rogers, AR 72758-6433 | 2015-03-10 |
| 1154735769 | Priscilla Brown | Social Worker | 1106 Poplar Place, Rogers, AR 72756-4249 | 2014-06-12 |
| 1164763066 | Katherine Harding Wetzel | Social Worker | 513 Dodson Rd, Y4, Rogers, AR 72758-7393 | 2013-03-04 |
| 1952685398 | Sharon Susan Benton | Social Worker | 1513 W Fir St, Rogers, AR 72758-5031 | 2011-10-04 |
| 1790070928 | Christine Renuart-rapa | Social Worker | 8998 Lane Loraine, Rogers, AR 72756-7891 | 2011-06-15 |
| 1982915419 | Susanna Humbard Rongey | Social Worker | 500 West Walnut, Rogers Public Schools, Rogers, AR 72756-3774 | 2010-06-30 |
| 1720233661 | Lindsey Suitt | Social Worker | 1106 Poplar Pl., Rogers, AR 72756-4249 | 2008-11-19 |
| Find all providers in ROGERS | ||||
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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.