NPI 1114156361 · live from the CMS NPI Registry
Stephanie Elizabeth Avery, PLMSW
Social Worker, Clinical in Little Rock, AR. National Provider Identifier 1114156361, active.
NPI record
| NPI | 1114156361 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6425 W 12th St, Little Rock, AR 72204 |
| Practice phone | 501-666-7233 |
| Mailing address | Po Box 251970, Little Rock, AR 72225 |
| Enumerated | July 9, 2009 |
| Last updated | July 6, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.