Stacey Lynette Bankston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7482-C Issued in AR

Practice address

1233 West Poplar
Rogers, AR 72756-4249

Phone

(479) 636-9235

Fax

(479) 631-0374

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lynette Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Creative Counseling Center of Nwa, PLLC

  • Professional Counselor
  • Bentonville, AR
  • NPI 1346890027

  Clinical

  NPD
• Serenity and Soul Counseling LLC

  • Mental Health Counselor
  • Jonesboro, AR
  • NPI 1760009716
  NPD

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1710211461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVENUE",
            "address_2": "SUITE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WEST POPLAR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564249",
            "telephone_number": "479-636-9235",
            "fax_number": "479-631-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "STACEY",
        "middle_name": "LYNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7482-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "STEVENS",
            "middle_name": "LYNETTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Baldridge
• Mackenzie Baldwin
• Zachary Heath Ball, PT
• Alexandrea Ballance, RBT
• Hope Allyson Ballentine, RN, CNM
• Rachel Bannert-Goddu, LPC
• Rachel Lynn Barber, LPC
• Janice Kay Barclay, L P C
• Carlee Kline Barker, MS
• Abbey Barnes, NP

• Clinical Social Worker in Rogers, AR
• Providers in Rogers, 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 Sep 8, 2016; 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.