Individual provider Active NPI

Donna Stuecken, LCSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1447335906
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5826C Issued in AR
Practice address
899 Burnett Dr
Mountain Home, AR 72653-2909
Phone
(479) 750-2020
Fax
(479) 750-4843
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 952-M AR
Clinical Social Worker 1041C0700X 5826C AR Primary

Addresses

Primary practice location

899 Burnett Dr
Mountain Home, AR 72653-2909

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Other practice location 1

319 highway 14 south , number 1
yellville, AR 72687
Phone (870) 449-5177

Other practice location 2

319 highway 14 south , number 1
yellville, AR 72687
Phone (870) 449-5177

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
I20200925000993 AR Practitioner - Clinical Social Worker 6800215781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
952-MARMDSocial Worker
5826CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. Social Worker Current Accepting new patients
Ozark Guidance Center, Inc CurrentSince Aug 19, 2020 Accepting new patients
Ozark Guidance Center, Inc Social Worker CurrentSince Aug 19, 2020 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

1104 N College St
Huntsville, AR 72740
Phone (479) 738-2878

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

899 Burnett Dr
Mountain Home, AR 72653
Phone (870) 232-4385

8 Medical Plz
Mountain Home, AR 72653
Phone (870) 232-4385

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1447335906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532909",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 highway 14 south , number 1",
            "address_purpose": "LOCATION",
            "city": "yellville",
            "state": "AR",
            "postal_code": "72687",
            "country_code": "US",
            "telephone_number": "870-449-5177",
            "fax_number": "870-449-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 highway 14 south , number 1",
            "address_purpose": "LOCATION",
            "city": "yellville",
            "state": "AR",
            "postal_code": "72687",
            "country_code": "US",
            "telephone_number": "870-449-5177",
            "fax_number": "870-449-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUECKEN",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "952-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5826C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.