Jeanie Shade, LCSW
NPI 1659048809 · Clinical Social Worker · Bentonville, AR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeanie Shade, LCSW is a Clinical Social Worker provider in Bentonville, AR (NPI 1659048809).
Provider details
- NPI number
- 1659048809
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12579-C (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Jeanie Shade's NPI number?
- Jeanie Shade's National Provider Identifier (NPI) is 1659048809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeanie Shade's specialty?
- Jeanie Shade is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeanie Shade located?
- Jeanie Shade's practice location on file with NPPES is 1001 Se 28th St, Bentonville, AR 72712-3205.
- What is Jeanie Shade's phone number?
- The practice phone number listed in the NPPES registry for Jeanie Shade is (479) 403-2915.
- Does Jeanie Shade accept Medicare?
- Jeanie Shade is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeanie Shade's NPI active?
- Yes — Jeanie Shade's NPI (1659048809) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.