John Lark Shasteen in Bentonville - Clinical
John Lark Shasteen - NPI 1871525071
John Lark Shasteen is a Clinical in Bentonville, Arkansas. John Lark Shasteen practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Lark Shasteen is 1871525071. The last update date is 2018-06-16.
John Lark Shasteen's current location address is 1803 Sw Regional Airport Blvd Ste 5, Bentonville, Arkansas. You can contact this provider via phone number 4798768626 and fax number 4798768636. The mailing address for John Lark Shasteen is 1803 Sw Regional Airport Blvd Ste 5, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lark Shasteen |
|---|---|
| Address | 1803 Sw Regional Airport Blvd Ste 5, Bentonville, Arkansas |
| Phone Number | 4798768626 |
| Fax Number | 4798768636 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871525071 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2018-06-16 |
Provider Mailing Address Detail
| Address | 1803 Sw Regional Airport Blvd Ste 5 |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727128792 |
| Phone Number | 4798768626 |
| Fax Number | 4798768636 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C-1285 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5S196 | AR | BLUE SHIELD PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Lark Shasteen by the Centers for Medicare & Medicaid Services?
The John Lark Shasteen has been assigned the NPI (National Provider Identifier) 1871525071 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the John Lark Shasteen's physical address?
The John Lark Shasteen is physically located at 1803 Sw Regional Airport Blvd Ste 5, in the city of Bentonville, AR, with the postal code 727128792.
What is John Lark Shasteen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Lark Shasteen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the John Lark Shasteen receive the assignment of its 1871525071 from the Centers for Medicare & Medicaid Services?
The John Lark Shasteen was issued its 1871525071 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the John Lark Shasteen's information last updated?
The John Lark Shasteen's information was last updated on 2018-06-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC