Lacie Stephens

Primary specialty

Social WorkerTaxonomy code 104100000X

License

L14157 Issued in OR

Practice address

4006 Forest Hill Rd
Jonesboro, AR 72404-8554

Phone

(740) 296-8749

NPI assigned

Feb 3, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1265138903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24182 PUMPKIN RIDGE RD",
            "city": "NEW PLYMOUTH",
            "state": "OH",
            "postal_code": "456548960",
            "telephone_number": "740-296-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 FOREST HILL RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048554",
            "telephone_number": "740-296-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "12700-C",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2203389",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L14157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Steimel
• Amy Stein, PHD, AUD
• Stephanie Gulley, LPC, PLLC (Stephanie Hunter)
• Stephen Rauls, MD PLLC, LLC
• Alyssa Stephens, PTA
• Quincy J Stephenson, PLMSW
• Aksiniya Stevasarova, MD
• Catrina Stevenson
• Daniel Richard Stevenson, M.D.
• Dwayne Stevenson, MHPP

• Social Worker in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.