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TADD HICKERSON RECOVERY ASSISTANT
NPI 1386966042
Case Manager/Care Coordinator in Clinton, AR

Active since February 23, 2010
242 SHAKE RAG RD, CLINTON, AR 72031(501) 745-6644 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tadd Hickerson Recovery Assistant NPPES

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

TADD HICKERSON RECOVERY ASSISTANT (NPI 1386966042) is an individual case manager/care coordinator provider in Clinton, Arkansas and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1386966042
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTADD HICKERSONCredential: RECOVERY ASSISTANT
Location Address242 SHAKE RAG RDClinton, AR 72031-6629
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 745-6644
Sole ProprietorNo
Enumeration DateFebruary 23, 2010
Last NPPES UpdateJune 9, 2011
✔ NPI 1386966042 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.
242 SHAKE RAG RD, Clinton, AR 72031
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Other Providers at the Same Location NPPES 20

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

ERIN WRIGHT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
DEBBIE BALLARD
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
CALLI OWEN RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
JENNIFER PUGH RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
RICHARD GRAY RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
DANA GRANTHAM
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
MISTY HORTON
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
STEPHEN MOUDY
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344

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 Tadd Hickerson's NPI number?

The NPI number for Tadd Hickerson is 1386966042. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Where is Tadd Hickerson located?

Tadd Hickerson practices at 242 Shake Rag Rd, Clinton, AR 72031. The listed phone number is (501) 745-6644.

What is Tadd Hickerson'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 Tadd Hickerson was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.