1. Home
  2. Directory
  3. Arkansas
  4. Russellville
  5. Case Manager Care Coordinator
  6. NPI Profile

SHAE MORTAZAVI QBHP
NPI 1831779008
Case Manager/Care Coordinator in Russellville, AR

Active since April 12, 2021
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802(479) 747-5222 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shae Mortazavi Qbhp NPPES

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

SHAE MORTAZAVI QBHP (NPI 1831779008) is an individual case manager/care coordinator provider in Russellville, Arkansas, licensed in Arkansas (0000) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1831779008
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHAE MORTAZAVICredential: QBHP
Location Address104 LOCK AND DAM RDRussellville, AR 72802-9725
Mailing Address104 Lock And Dam RdRussellville, AR 72802-9725 · (479) 747-5222
Phone(479) 747-5222
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1831779008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in AR · 0000
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.
104 LOCK AND DAM RD, Russellville, AR 72802
Open in Google Maps ↗

Other Identifiers 1

MedicaidPENDINGAR

Other Providers at the Same Location NPPES 17

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

RAVEN CRUZ-HUMBERTO
Counselor
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 747-5222
SEUMR LONG
Community/Behavioral Health
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 222-0268
KENDRA HILL
Case Manager/Care Coordinator
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (870) 266-6220
TOBY AARON RICHARD
Case Manager/Care Coordinator
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 567-5530
SHANA ADAMS
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 747-5222
GRACE COUNSELING AND CONSULTING
Counselor
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 222-1965
KRISTY PETERS PLMSW
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 747-5222
JONNA M TAYLOR MSW
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Pope County (479) 222-0268

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 Shae Mortazavi's NPI number?

The NPI number for Shae Mortazavi is 1831779008. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Shae Mortazavi located?

Shae Mortazavi practices at 104 Lock And Dam Rd, Russellville, AR 72802. The listed phone number is (479) 747-5222.

What is Shae Mortazavi'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 Shae Mortazavi was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.