Organization Active NPI

Carly Stern, Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1659294353
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARLY STERN, LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
3111 S Murray Ave
Fayetteville, AR 72701-3481
Phone
(714) 588-0911
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Carly Elizabeth Stern, LCSW
Title
Owner
Phone
(714) 588-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3111 S Murray Ave
Fayetteville, AR 72701-3481

Mailing address

3111 S Murray Ave
Fayetteville, AR 72701-3481
Phone (714) 588-0911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1659294353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S MURRAY AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013481",
            "telephone_number": "714-588-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S MURRAY AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013481",
            "telephone_number": "714-588-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY STERN, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-588-0911",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.