Jeanie Ray Shade, LCSW - Clinical Social Worker in Bentonville, AR

Jeanie Ray Shade, LCSW is a Social Worker - Clinical based in Bentonville, Arkansas. Jeanie Ray Shade is licensed to practice in Arkansas (license number 12579-C) and her current practice location is 1001 Se 28th St, Bentonville, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 403-2915.

NPI number for Jeanie Ray Shade is 1659048809 and her current mailing address is 53 Nantucket Dr, Bella Vista, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659048809.

Contact Information

Jeanie Ray Shade, LCSW
1001 Se 28th St,
Bentonville, AR 72712-3205
(479) 403-2915
Not Available



Healthcare Provider's Profile

Full NameJeanie Ray Shade
GenderFemale
SpecialitySocial Worker - Clinical
Location1001 Se 28th St, Bentonville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659048809
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 12/06/2023

Medical Identifiers

Medical identifiers for Jeanie Ray Shade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659048809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 12579-C (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanie Ray Shade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeanie Ray Shade, LCSW
53 Nantucket Dr,
Bella Vista, AR 72715-8178

Ph: (208) 749-4323
Jeanie Ray Shade, LCSW
1001 Se 28th St,
Bentonville, AR 72712-3205

Ph: (479) 403-2915

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› Verified 8 days ago


Social Worker in Bentonville, AR

Stephanie Litzinger, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 2508 Se 20th St, Bentonville, AR 72712
Phone: 479-750-2020    Fax: 479-750-4843
Sharon A Odom, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2508 Se 20th St, Bentonville, AR 72712
Phone: 479-273-9088    Fax: 479-750-4843
Keisha Kennedy, PLMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Walton Blvd, Bentonville, AR 72712
Phone: 870-394-4643    Fax: 870-394-4646
Holly Fleming,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 803 Se Plaza Ave Ste 1, Bentonville, AR 72712
Phone: 479-362-5724    
Austin Oslica, PLMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712
Phone: 479-725-6000    Fax: 479-750-4843
Douglas Spencer Monson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2003 Se Walton Blvd, Suite C, Bentonville, AR 72712
Phone: 479-464-8081    Fax: 479-464-0674
Laura Fox,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712
Phone: 479-271-7634    Fax: 479-271-7654

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