Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse R Carothers, LCSW

Individual provider Clinical Social Worker · NPI 1801001763

Jesse R Carothers, LCSW is a Clinical Social Worker in Van Buren, Arkansas. Qualified in 2006, 20 years ago. Practices with Adolescent and Family Advocates, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
20
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3103 Alma Hwy
Van Buren, AR 72956-5027
Phone: (479) 474-4483
Fax: (479) 262-5041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1801001763
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Adolescent And Family Advocates — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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