Jordan Lucus Masterson, LCSW
Social Worker, Clinical in Mountain Home, AR. Individual provider (NPI-1).
NPI number1194366294
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1194366294
- Entity type
- Individual (NPI-1)
- Name
- Jordan Lucus Masterson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2019
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9677-C | AR | Yes |
| 104100000X | Social Worker | 9677-M | AR |
Practice location
353 E 8th StMountain Home, AR 72653-4423
Phone 870-701-5141 · Fax 870-701-5177
Mailing address
Po Box 299Hoxie, AR 72433-0299
Phone 870-886-1333 · Fax 870-886-1334
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All 35 Clinical Social Worker providers in Mountain Home · All 1,273 providers in Mountain Home
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