Kathy Quarles Jordan in Springdale - Clinical
Kathy Quarles Jordan - NPI 1881623197
Kathy Quarles Jordan is a Clinical in Springdale, Arkansas. Kathy Quarles Jordan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy Quarles Jordan is 1881623197. The last update date is 2011-05-31.
Kathy Quarles Jordan's current location address is P.o. Box 6430, Springdale, Arkansas. You can contact this provider via phone number 4797502020 and fax number 4797508967. The mailing address for Kathy Quarles Jordan is P.o. Box 6430, Springdale, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Quarles Jordan |
|---|---|
| Address | P.o. Box 6430, Springdale, Arkansas |
| Phone Number | 4797502020 |
| Fax Number | 4797508967 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1881623197 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2011-05-31 |
Provider Mailing Address Detail
| Address | P.o. Box 6430 |
|---|---|
| City | Springdale |
| State | Arkansas (AR) |
| Post Code | 72766 |
| Phone Number | 4797502020 |
| Fax Number | 4797508967 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1573-C |
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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 |
|---|---|---|---|
| 5Y996 | AR | BLUE SHIELD PROVIDER # |
Post Comment/ Review Below
What is the unique identification code assigned to Kathy Quarles Jordan by the Centers for Medicare & Medicaid Services?
The Kathy Quarles Jordan has been issued the NPI (National Provider Identifier) 1881623197. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathy Quarles Jordan is physically located?
The Kathy Quarles Jordan is physically situated at the following address: P.O. Box 6430, Springdale, AR, 72766.
What is the Kathy Quarles Jordan's specialty and taxonomy code?
The Kathy Quarles Jordan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Kathy Quarles Jordan receive its 1881623197 assignment from the Centers for Medicare & Medicaid Services?
The Kathy Quarles Jordan was assigned its 1881623197 on 2006-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kathy Quarles Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathy Quarles Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-05-31.