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Jordan David Mathisen, LCSW

NPI 1962783852ActiveIndividual· Social Worker· Cabot, AR

Social Worker (LCSW) in Cabot, Arkansas, licensed in AR, with an NPI issued in September 2011.

Overview

NPI1962783852
StatusActive
Entity typeIndividual
CredentialLCSW
Sole proprietorNo
NPI issuedSep 6, 2011
Last updated in NPPESNov 4, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X7197-CAR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker providers in Cabot

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