Individual provider Active NPI

Stephanie Ann Carter, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1467578088
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4995-C Issued in AR
Practice address
2701 S Caraway Rd
Jonesboro, AR 72401-7304
Phone
(870) 926-5710
Fax
(870) 292-3431
NPI assigned
Mar 22, 2007
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4995-C AR Primary

Addresses

Primary practice location

2701 S Caraway Rd
Jonesboro, AR 72401-7304

Mailing address

2701 S Caraway Rd
Jonesboro, AR 72401-7304
Phone (870) 926-5710

Other names 1

  • Mrs. Stephanie Ann Edington Former name

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
I20141209002312 AR Practitioner - Clinical Social Worker 3678895216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing of Nea PLLCGroup PAC ID 7012302300, 8 clinicians

Practice addresses (Care Compare)

2701 S Caraway Rd
Suite B1
Jonesboro, AR 72401-7336
Phone (870) 926-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4995-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing of Nea PLLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

2701 S Caraway Rd
Ste B1
Jonesboro, AR 72401
Phone (870) 790-1766

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1467578088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017304",
            "telephone_number": "870-926-5710",
            "fax_number": "870-292-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017304",
            "telephone_number": "870-926-5710",
            "fax_number": "870-292-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4995-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "EDINGTON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.