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Jacquetta Johnson , LMSW

Social Worker β€’ Cabot, AR

Active NPI 1629476577 Individual Practitioner Female Practitioner
Practice location in NPPES

3358 S 2nd St Ste A-C
Cabot, AR 720237873

Call 5012866053 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3358 S 2nd St Ste A-C

Cabot, AR 720237873

Telephone 5012866053
Organization at the Same NPPES Address or Phone
Life Strategies Counseling, Inc. Facility NPI 1417304973

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cabot and Arkansas

25 active clinicians are listed under Social Worker with a practice address in Cabot, AR (1,350 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cabot

0% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-28
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES AR 10406-M

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 28, 2025

Recorded as JACQUETTA JOHNSON, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2025

Social Worker (license number reported to NPPES: AR 10406-M)

πŸ“
Updated Practice Location October 01, 2024

Registered at 3358 S 2ND ST STE A-C, CABOT, AR 720237873 (Tel: 5012866053)

πŸ“
Updated Business Mailing Address October 01, 2024

Registered at 2809 FOREST HOME RD, JONESBORO, AR 724015320 (Tel: 8669721268)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Social Worker (license number reported to NPPES: AR PLMSW)

βœ…
NPI Profile Active December 09, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 09, 2014

Registered at 1556 S SULTANA AVE, ONTARIO, CA 917614238 (Tel: 9094186923)

πŸ“
Business Mailing Address (Initial Record) December 09, 2014

Registered at 1556 S SULTANA AVE, ONTARIO, CA 917614238 (Tel: 9094186923)

πŸ‘€
Provider Name / Credentials (Initial Record) December 09, 2014

Recorded as JACQUETTA JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 09, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629476577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2014
Last Update: April 28, 2025
Sole Proprietor: No

Mailing Address

2809 Forest Home Rd

Jonesboro, AR 724015320

Phone: 8669721268

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.