NPI 1710211461 · live from the CMS NPI Registry
Stacey Lynette Bankston, LCSW
Social Worker, Clinical in Rogers, AR. National Provider Identifier 1710211461, active.
NPI record
| NPI | 1710211461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1233 West Poplar, Rogers, AR 72756 |
| Practice phone | 479-636-9235 |
| Mailing address | 614 E Emma Avenue, Suite 300, Springdale, AR 72764 |
| Enumerated | September 29, 2009 |
| Last updated | September 8, 2016 |
| Sole proprietor | No |
| Other names | Stacey Stevens |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 7482-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.