JERRY FORD RECOVERY ASSISTANT
NPI 1790048791
Case Manager/Care Coordinator in Clarksville, AR

Active since June 25, 2012
522 MILL RD, CLARKSVILLE, AR 72830(479) 705-1301 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerry Ford Recovery Assistant NPPES

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

JERRY FORD RECOVERY ASSISTANT (NPI 1790048791) is an individual case manager/care coordinator provider in Clarksville, Arkansas and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1790048791
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJERRY FORDCredential: RECOVERY ASSISTANT
Location Address522 MILL RDClarksville, AR 72830-8511
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Sole ProprietorNo
Enumeration DateJune 25, 2012
NPI 1790048791 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.

522 MILL RD, Clarksville, AR 72830

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.

Social Worker (Clinical)
522 MILL RD
CLARKSVILLE, AR 72830
Counselor (Mental Health)
522 MILL RD
CLARKSVILLE, AR 72830
Social Worker (Clinical)
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790048791, enumerated as an "individual" on June 25, 2012.

The provider is located at 522 MILL RD CLARKSVILLE, AR 72830 and the phone number is (479) 705-1301.

Case Manager/Care Coordinator with taxonomy code 171M00000X.