Jesse R. Carothers, LCSW
NPI 1801001763ActiveIndividual· Social Worker, Clinical· Van Buren, AR
Social Worker, Clinical (LCSW) with Adolescent and Family Advocates, practicing in Van Buren, Arkansas. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1801001763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Mar 21, 2023 |
| Certified by provider | Mar 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AR) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Adolescent and Family AdvocatesVan Buren, AR · 6 clinicians
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