Carrie E Cannon (NPI# 1154579977, PAC ID# 6305178781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1154579977 |
| PAC ID by PECOS | 6305178781 |
| Professional Enrollment ID | I20191105000511 |
| Full Name | Carrie E Cannon |
| Organization Legal Name | OUACHITA REGIONAL COUNSELING AND MENTAL HEALTH SERVICES, INC |
| Address |
1615 Martin Luther King Blvd Malvern AR 72104-2233 |
| Phone Number | 5016247111 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416853445 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 5016247111 | OUACHITA REGIONAL COUNSELING AND MENTAL HEALTH SERVICES, INC |
| Organization Legal Name | OUACHITA REGIONAL COUNSELING AND MENTAL HEALTH SERVICES, INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie K Venhaus | Psychologist, Clinical | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Kelly N Cox | Nurse Practitioner | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Gail S Maurer | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Christina E Planje | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Marilyn H Laughlin | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Jessie L Green | Nurse Practitioner | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Kristie L Stevens | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Ann T Leach | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Anthony Joel Valentine | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 |
| Catherine Stallard | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 125 Wellness Way, Hot Springs, AR 71913-6478 |
| Street Address |
1615 MARTIN LUTHER KING BLVD |
| City | MALVERN |
| State | AR |
| Zip | 72104-2233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Joel Valentine | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 |
| Debra A Martinez | Clinical Social Worker | Ouachita Regional Counseling and Mental Health Services, Inc | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 |
| Brandi N Yarberry-rawls | Psychiatry | Ouachita Regional Counseling and Mental Health Center, Inc. | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rimantas Kazakevicius | Family Medicine | Chi St Vincent Medical Group Hot Springs | 1424 Tanner St, Rockport, AR 72104-2082 |
| Michael R Schoultz | Physical Therapy | 1721 Martin Luther King Blvd I, Malvern, AR 72104-2087 | |
| Bethany S Cox | Nurse Practitioner | Tfs of Gurdon Inc | 829 Halbert St, Malvern, AR 72104-2607 |
| Nicholas G Dobbs | Physical Therapy | Pro-active Rehab, Inc | 640 Mlk Blvd, Malvern, AR 72104-2632 |
| Randall W Jerry | Physical Therapy | Pro-active Rehab, Inc | 640 Mlk Blvd, Malvern, AR 72104-2632 |
| Mona R Simms | Nurse Practitioner | Shawn Purifoy Md Pa | 850 Henry St, Malvern, AR 72104-2712 |
| Anna Ross | Nurse Practitioner | Shawn Purifoy Md Pa | 850 Henry St, Malvern, AR 72104-2712 |
| Norinda Harrison | Nurse Practitioner | Shawn Purifoy Md Pa | 850 Henry St, Malvern, AR 72104-2712 |
| Shawn W Purifoy | Family Medicine | Shawn Purifoy Md Pa | 850 Henry St, Malvern, AR 72104-2712 |
| Kendra Wilson | Nurse Practitioner | Shawn Purifoy Md Pa | 850 Henry St, Malvern, AR 72104-2712 |
| Find all physicians in zip 72104 | |||
| City | MALVERN |
| Zip Code | 72104 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MALVERN + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.