| John Lark Shasteen, LCSW | |
|
1803 Sw Regional Airport Blvd Ste 5, Bentonville, AR 72712-8792 | |
| (479) 876-8626 | |
| (479) 876-8636 |
| Full Name | John Lark Shasteen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1803 Sw Regional Airport Blvd Ste 5, Bentonville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871525071 | NPI | - | NPPES |
| 5S196 | Other | AR | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-1285 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Lark Shasteen, LCSW 1803 Sw Regional Airport Blvd Ste 5, Bentonville, AR 72712-8792 Ph: (479) 876-8626 | John Lark Shasteen, LCSW 1803 Sw Regional Airport Blvd Ste 5, Bentonville, AR 72712-8792 Ph: (479) 876-8626 |
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 |