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

Jordan David Mathisen, LCSW

Individual provider Social Worker · NPI 1962783852

Jordan David Mathisen, LCSW is a Social Worker in Cabot, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
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

203B Westport Dr
Cabot, AR 72023-3657
Phone: (501) 843-9233
Fax: (501) 843-9656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 7197-C (AR)

Record details

NPI number1962783852
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2011
Last updated in NPPESNovember 4, 2014

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