Active NPI
Stephanie A Bruff, LCSW
- Clinical Social Worker
- Harrison, AR
National Provider Identifier
1124289822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 642-C
- Practice address
- 620 N Main St
Harrison, AR 72601-2911 - Phone
- (870) 414-4019
- Fax
- (870) 366-2350
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 642-C | AR | Primary |
Addresses
Primary practice location
620 N Main St
Harrison, AR 72601-2911
Mailing address
PO Box 1893
Harrison, AR 72602-1893
Phone (870) 688-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1124289822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1893",
"city": "HARRISON",
"state": "AR",
"postal_code": "726021893",
"telephone_number": "870-688-2049",
"fax_number": "870-365-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N MAIN ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012911",
"telephone_number": "870-414-4019",
"fax_number": "870-366-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUFF",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "642-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.