Mr Randall Scott Burcham, MSSW LCSW | |
3201 W Keiser, Osceola, AR 72370-3467 | |
(870) 622-0592 | |
(870) 622-0782 |
Full Name | Mr Randall Scott Burcham |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3201 W Keiser, Osceola, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477968881 | NPI | - | NPPES |
227809719 | Medicaid | AR | |
50461 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1055-C (Arkansas) | Primary |
Entity Name | Families, Inc Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Scott Burcham, MSSW LCSW 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 | Mr Randall Scott Burcham, MSSW LCSW 3201 W Keiser, Osceola, AR 72370-3467 Ph: (870) 622-0592 |
Ms. Terry Mae Cooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1487 W Keiser Ave, Osceola, AR 72370 Phone: 870-563-4500 | |
Cathleen West, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1487 W Keiser Ave, Osceola, AR 72370 Phone: 870-563-4500 | |
Mrs. Hailey Elizabeth Levin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3201 W. Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Joanna Ford, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1487 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782 | |
Jamie Dawson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1487 W Keiser Ave, Osceola, AR 72370 Phone: 870-563-4500 |