JORDAN EANES (LCSW) – Clinical Social Worker, NPI 1114522976

JORDAN EANES (LCSW) is a healthcare provider. based in Jonesboro, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for JORDAN EANES (LCSW) is 1114522976

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN EANES (LCSW)
NPI
1114522976
Phone
(870) 930-9090
Address
615 E MATTHEWS AVE STE A
Enumeration Date
1 December 2020
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5019044762
Graduation Year
2018 (8 years ago)
PAC ID
5496168908
Group Practice PAC ID
7012258627
Professional Enrollment ID
I20201230000756
Address ID
AR722112491LI11501LNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for JORDAN EANES (LCSW)

  • 615 E MATTHEWS AVE STE A

    JONESBORO, AR 724013106

    Phone: (870) 930-9090

    Fax: (870) 931-4581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201230000756IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour5917$0
90834Psychotherapy, 45 minutes4712$0
90791Psychiatric diagnostic evaluation2929$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012258627View full group profile
NameSpecialtyState
-AR
Psychiatry, Addiction MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Nurse PractitionerMO
Mental Health CounselorAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is JORDAN EANES (LCSW)'s NPI number?
JORDAN EANES (LCSW)'s NPI is 1114522976 — the number used across U.S. healthcare to identify this provider.
Is JORDAN EANES (LCSW) still an active registrant?
JORDAN EANES (LCSW) carries an active NPI according to the public dataset.
What expertise is attributed to JORDAN EANES (LCSW)?
JORDAN EANES (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with JORDAN EANES (LCSW)?
Directory geography for JORDAN EANES (LCSW) centers on Jonesboro, Arkansas.
Can I trust this NPI listing for JORDAN EANES (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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