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FORT SMITH BEHAVIORAL HEALTH INC NPI 1821305186


NPI Information

NPI: 1821305186
Provider Name: FORT SMITH BEHAVIORAL HEALTH INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1620 S 46TH ST
1620 S 46TH STREET
FORT SMITH, AR
ZIP 72903
Phone: (479) 494-7889
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FORT SMITH BEHAVIORAL HEALTH INC is a clinical social worker in Fort Smith, AR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FORT SMITH BEHAVIORAL HEALTH INC NPI is 1821305186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1620 S 46TH ST
1620 S 46TH STREET
FORT SMITH, AR
ZIP 72903-129
Phone: (479) 494-7889
Fax: (479) 494-7890

The provider's authorized official is Stephen Douglas Chiovoloni .
The authorized official title is Clinical Social Worker and has the following contact phone number (479) 494-7889.

The enumeration date for this NPI number is 9/8/2010 and was last updated on 8/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)02511ARKANSASNo
21041C0700XSocial WorkerClinical2295-CPARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113288OTHERARKANSASSAP
22295-CPOTHERARKANSASLCSW
3203767OTHERARKANSASICAADC
4A-289OTHERARKANSASAADC
5023OTHERARKANSASCCDP
6400690OTHERARKANSASICCDPD
702511OTHERARKANSASLADAC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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