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

Mr. Jared Ladane Rodgers, LCSW

Individual provider Clinical Social Worker · NPI 1205376803

Mr. Jared Ladane Rodgers, LCSW is a Clinical Social Worker in White Hall, Arkansas. Qualified in 2020, 6 years ago. Practices with Supportive Psych Care of Arkansas PA, a 40-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2017
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

1504 Oak Hill Dr
White Hall, AR 71602-8607
Phone: (501) 513-7103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10212-C (AR)

Record details

NPI number1205376803
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 15, 2026
Certification dateMarch 15, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Supportive Psych Care Of Arkansas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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