Individual provider Active NPI

Stephanie Leona Matthews, LCSW

  • Clinical Social Worker
  • Mena, AR
National Provider Identifier
1164730867
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4844-C Issued in AR
Practice address
136 Health Park Dr
Mena, AR 71953-9072
Phone
(888) 710-8220
Fax
(866) 573-0761
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4844-C AR
Clinical Social Worker 1041C0700X 4844-C AR Primary

Addresses

Primary practice location

136 Health Park Dr
Mena, AR 71953-9072

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (479) 437-3449

Other practice location 1

534 Luzerne St
Mount Ida, AR 71957
Phone (888) 710-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108000795 AR Practitioner - Clinical Social Worker 5991028433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1106 Mena St
Mena, AR 71953-4252
Phone (479) 437-7967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4844-CARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Incorporated Current Accepting new patients
Healthy Connections Incorporated CurrentSince Jun 14, 2018 Accepting new patients
Stephanie Matthews Counseling, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Healthy Connections Inc Past Accepting new patients

Locations

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

208 McAuley Ct
Ste B
Hot Springs, AR 71913

3604 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 318-0646

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

1106 Mena St
Mena, AR 71953
Phone (479) 437-3602

1142 Highway 71 S
#C
Mena, AR 71953
Phone (479) 385-0260

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1164730867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449",
            "fax_number": "479-243-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HEALTH PARK DR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719539072",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Luzerne St",
            "address_purpose": "LOCATION",
            "city": "Mount Ida",
            "state": "AR",
            "postal_code": "71957",
            "country_code": "US",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "STEPHANIE",
        "middle_name": "LEONA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "4844-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4844-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.