Jeanie Ray Shade, LCSW
Clinical Social Worker · Bentonville, AR
Jeanie Ray Shade, LCSW is a clinical social worker with a practice address in Bentonville, Arkansas, and NPI 1659048809, issued on Aug 25, 2021. Check the license (Arkansas 12579-C, as entered in NPPES) with the Arkansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jeanie Ray Shade
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 12579-C AR
Self-reported in NPPES; status is on the state search - Practice location
- 1001 SE 28TH St, Bentonville, AR 72712
- Phone
- (479) 403-2915
- Enumerated
- Aug 25, 2021
- Record last updated
- Dec 6, 2023
- Medicare enrollment
- Enrolled (PECOS I20250805003128); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 2,103 in Arkansas → Look up another NPI →
Also registered at 1001 SE 28TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rebecca Bryan, DDS PADentist1225141880
- Corri CarpenterCase Manager/Care Coordinator1508724345
- Valerie ChampagneCase Manager/Care Coordinator1922966878
- Brittany HendersonCase Manager/Care Coordinator1972461705
- Robbin SittonCase Manager/Care Coordinator1881552610
- Alexis ThomasonMental Health Counselor1124977079
Verify Jeanie Ray Shade in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license 12579-CCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Brightside Medical OF Michigan PCLittle Rock, AR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jeanie Ray Shade among 2,103 clinical social worker records in Arkansas
Jeanie Ray Shade, LCSW is one of 2,103 clinical social worker records with a practice address in Arkansas. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 85% of them.
- NPI issued2021 · 85% of these records are older, 11% newer
- In a Medicare fileYes · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2010 · median 2012 among the 561 with a school on file
- Record last updated2023 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
67 clinical social worker records list a practice address in Bentonville
They are 67 of the 1,686 NPPES records with a practice address in Bentonville, and 2,103 clinical social worker records in Arkansas.
All 2,103 in Arkansas → Every provider in Bentonville → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Audrey Adams, LCSWBentonville, AR 727121417042573
- Kim Copps, LCSWBentonville, AR 727121568513281
- Denise Fitzgerald, LCSWBentonville, AR 727121669415139
- Sheryll Harbaugh, LCSWBentonville, AR 727121972698041
- Nancy Jung, LCSWBentonville, AR 727121174667596
- Tiffany McCullough, L.C.S.WBentonville, AR 727121780709584
- Douglas Monson, LCSWBentonville, AR 727121104855527
- Sharon Odom, LCSWBentonville, AR 727121033196324
Common questions
What is Jeanie Ray Shade, LCSW's NPI number?
Jeanie Ray Shade, LCSW's National Provider Identifier (NPI) is 1659048809, issued on Aug 25, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Jeanie Ray Shade, LCSW located?
The NPPES record lists a practice address at 1001 SE 28TH St, Bentonville, AR, 72712. Phone: (479) 403-2915. Providers update this record themselves, so call before visiting.
How can I verify Jeanie Ray Shade, LCSW's license?
NPPES lists Arkansas license number 12579-C, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.