Vaughn A Decoster, MSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3738-C Issued in AR

Practice address

4979 Old Greenwood Rd Ste B2
Fort Smith, AR 72903-6906

Phone

(479) 289-5220

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Pilotage Healing Inc.

  • Adult Mental Health Clinic/Center
  • Fort Smith, AR
  • NPI 1811797673
  NPD Authorized official

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1689634255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 LAUREL DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729365714",
            "telephone_number": "479-445-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 OLD GREENWOOD RD STE B2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036906",
            "telephone_number": "479-289-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTER",
        "first_name": "VAUGHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MSW, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3738-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakin Dean, LPC
• Ila Maureen Debose, LCSW
• Randall Scott Decker, PTA
• Amy Declerk, APRN
• Marla Decoster, CSW
• Danielle Loren Dedmon, P.D.
• Haley Nicole Dehart, APRN
• Robert J Delaney, CRNA
• Susana Delgadillo
• Crystal Dawn Delk, MHPP

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.