Stephanie Wormke, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Mulberry, AR
NPI 1487932968 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1487932968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 949 N Main St
Mulberry, AR 72947-8538 - Phone
- (479) 452-5040
- Fax
- (479) 452-5047
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
949 N Main St
Mulberry, AR 72947-8538
Mailing address
PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040
Other providers in Mulberry, AR
All providers in Mulberry, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.