JOHN L. SHASTEEN LLC
NPI 1265892087
Social Worker - Clinical in Bentonville, AR

Active since March 07, 2016
1803 SW REGIONAL AIRPORT BLVD STE 5, BENTONVILLE, AR 72712(479) 876-8626(479) 876-8636 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John L. Shasteen Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN L. SHASTEEN LLC (NPI 1265892087) is a healthcare organization registered as a clinical in Bentonville, Arkansas and active in the NPI registry since March 2016. The organization lists John L Shasteen, Behavioral Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1265892087
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJOHN L. SHASTEEN LLC
Location Address1803 SW REGIONAL AIRPORT BLVD STE 5Bentonville, AR 72712-8792
Mailing Address1803 Sw Regional Airport Blvd Ste 5Bentonville, AR 72712-8792 · (479) 876-8626 · Fax (479) 876-8636
Fax(479) 876-8636
Organization SubpartNo
Authorized OfficialJohn L ShasteenBehavioral Health Therapist · (479) 876-8626
Enumeration DateMarch 7, 2016
NPI 1265892087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in AR · C-1285
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1803 SW REGIONAL AIRPORT BLVD STE 5, Bentonville, AR 72712

Other Identifiers 1

Medicare PIN55196C466AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1803 SW REGIONAL AIRPORT BLVD STE 5
BENTONVILLE, AR 72712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John L. Shasteen LLC's NPI number?

The NPI number for John L. Shasteen LLC is 1265892087. It was assigned to this organization in the NPPES registry on March 7, 2016.

Where is John L. Shasteen LLC located?

John L. Shasteen LLC is located at 1803 SW Regional Airport Blvd Ste 5, Bentonville, AR 72712. The listed phone number is (479) 876-8626.

What is John L. Shasteen LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for John L. Shasteen LLC was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.