Individual provider Active NPI

Stephanie Sweat, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1487006748
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7142-C Issued in AR
Practice address
2005 E Highland Dr
Ste 210B
Jonesboro, AR 72401-6191
Phone
(870) 433-2870
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 7142-C AR
Social Worker 104100000X 7142-M AR
Clinical Social Worker 1041C0700X 7142-C AR Primary

Addresses

Primary practice location

2005 E Highland Dr
Ste 210B
Jonesboro, AR 72401-6191

Mailing address

262 Southwest Dr
Jonesboro, AR 72401-5829
Phone (870) 679-9972

Other practice location 1

262 Southwest Dr
Jonesboro, AR 72401-5829
Phone (870) 938-0052

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
I20210629000117 AR Practitioner - Clinical Social Worker 0244631232 Reassigns benefits to 2 organizations
Practice locations: Jonesboro, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vibrant Therapy Collective, LLCGroup PAC ID 2668866450, 2 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

262 Southwest Dr
Jonesboro, AR 72401-5829
Phone (870) 938-0052

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7142-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. CurrentSince Jun 19, 2023 Accepting new patients
St. Bernards Hospital, Inc CurrentSince Jun 19, 2023 Accepting new patients
Vibrant Therapy Collective, LLC Clinical CurrentSince Jan 13, 2022 Accepting new patients

Locations

262 Southwest Dr
Jonesboro, AR 72401
Phone (870) 203-6100

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

2005 E Highland Dr
Ste 210B
Jonesboro, AR 72401
Phone (870) 433-2870

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

Organizations & group practices 3

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1487006748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015829",
            "telephone_number": "870-679-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E HIGHLAND DR",
            "address_2": "STE 210B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016191",
            "telephone_number": "870-433-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Southwest Dr",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724015829",
            "country_code": "US",
            "telephone_number": "870-938-0052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEAT",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7142-C",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7142-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7142-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.