Jesse R Carothers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3103 Alma Hwy
Van Buren, AR 72956-5027

Phone

(479) 474-4483

Fax

(479) 262-5041

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adolescent and Family AdvocatesGroup PAC ID 7517384241, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Adolescent and Family Advocates

  • Multi-Specialty Clinic/Center
  • Van Buren, AR
  • NPI 1578775466
  Medicare reassignment Care Compare group
• Perspectives Behavioral Health Management, LLC

  • Mental Health Counselor
  • Fort Smith, AR
  • NPI 1124273420
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1801001763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-474-4483",
            "fax_number": "479-262-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-474-4483",
            "fax_number": "479-262-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "JESSE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care One EMS LLC
• Care One EMS LLC (Oklahoma)
• Joni L. Carmack, M.D.
• Megan Carney
• Stephen E Carney, M.D.
• Kayla Carter, RN
• Melanie Marie Carty
• Cassandra Wood, O.D., LLC
• Gregory Neal Cast, PHARM.D
• Ruby Castillo-Araujo

• Clinical Social Worker in Van Buren, AR
• Providers in Van Buren, 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 Mar 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.