KASANDRA SHACKELFORD RECOVERY ASSISTANT
NPI 1306101142
Case Manager/Care Coordinator in Benton, AR

Q: What is Kasandra Shackelford's NPI number?

The NPI number for Kasandra Shackelford is 1306101142. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Kasandra Shackelford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since July 09, 2012

109 W SOUTH ST, BENTON, AR 72015(501) 776-1191(501) 776-1194 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kasandra Shackelford Recovery Assistant NPPES

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

KASANDRA SHACKELFORD RECOVERY ASSISTANT (NPI 1306101142) is an individual case manager/care coordinator provider in Benton, Arkansas and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1306101142

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKASANDRA SHACKELFORDCredential: RECOVERY ASSISTANT

Location Address109 W SOUTH STBenton, AR 72015-3776

Mailing Address109 W South StBenton, AR 72015-3776 · (501) 776-1191 · Fax (501) 776-1194

Phone(501) 776-1191

Fax(501) 776-1194

Sole ProprietorNo

Enumeration DateJuly 9, 2012

Last NPPES UpdateMarch 31, 2014

✔ NPI 1306101142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

109 W SOUTH ST, Benton, AR 72015

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Other Providers at the Same Location NPPES 2

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

DONNA LEWIS MHPP

Case Manager/Care Coordinator

109 W SOUTH ST
BENTON, AR 72015

Saline County (501) 779-1191

MAXUS INC.

Counselor (Mental Health)

109 W SOUTH ST
BENTON, AR 72015

Saline County (501) 776-1191

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 Kasandra Shackelford's NPI number?

The NPI number for Kasandra Shackelford is 1306101142. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Kasandra Shackelford located?

Kasandra Shackelford practices at 109 W South St, Benton, AR 72015. The listed phone number is (501) 776-1191.

What is Kasandra Shackelford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kasandra Shackelford was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.