Active NPI
Emily Suzanne Stow, LMSW
- Social Worker
- Conway, AR
National Provider Identifier
1730629197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10229-M
- Practice address
- 800 Exchange Ave.
Ste. 103
Conway, AR 72032 - Phone
- (501) 781-2230
- Fax
- (501) 982-5007
- NPI assigned
- Mar 6, 2017
- Last updated
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Social Worker | 104100000X | 10229-M | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
800 Exchange Ave.
Ste. 103
Conway, AR 72032
Mailing address
10800 Financial Pkwy.
Ste. 290
West Little Rock, AR 72211
Phone (501) 781-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224580795 | Medicaid | AR |
Other names 1
- Emily Suzanne Gates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10229-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Current | Accepting new patients |
Locations
800 Exchange Ave
Ste 103
Conway, AR 72032
Phone (501) 701-2230
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1356604219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1730629197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 FINANCIAL PKWY.",
"address_2": "STE. 290",
"city": "WEST LITTLE ROCK",
"state": "AR",
"postal_code": "72211",
"telephone_number": "501-781-2230",
"fax_number": "870-933-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EXCHANGE AVE.",
"address_2": "STE. 103",
"city": "CONWAY",
"state": "AR",
"postal_code": "72032",
"telephone_number": "501-781-2230",
"fax_number": "501-982-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOW",
"first_name": "EMILY",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "10229-M",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224580795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "GATES",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.