Jordan Lucus Masterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9677-C Issued in AR

Practice address

353 E 8TH St
Mountain Home, AR 72653-4423

Phone

(870) 701-5141

Fax

(870) 701-5177

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Behavioral Health Services of Arkansas, Inc

  • Community/Behavioral Health Agency
  • Hoxie, AR
  • NPI 1629226931
  Medicare reassignment NPD
• Hometown Behavioral Health Services of Ak Inc.

  • Mental Health Counselor
  • Mountain Home, AR
  • NPI 1902372774

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1194366294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724330299",
            "telephone_number": "870-886-1333",
            "fax_number": "870-886-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 8TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534423",
            "telephone_number": "870-701-5141",
            "fax_number": "870-701-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "JORDAN",
        "middle_name": "LUCUS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "9677-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9677-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Renee Martinez
• Douglas William Marx, M.D.
• Mary Wren OB/GYN, PLLC
• Jordan Claire Massie
• Harold Masterson, PSYEX
• Grant Mathews, MD
• Eric Kamaal Mathis, D.D.S.
• Fonda Kay Maupin, MHP
• Emily Maxon
• Maxus Inc.

• Clinical Social Worker in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.