Individual provider Active NPI

Mariah Stokes

  • Social Worker
  • West Memphis, AR
National Provider Identifier
1750121885
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22403-M Issued in AR
Practice address
205 W Bond Ave
West Memphis, AR 72301
Phone
(901) 216-5076
NPI assigned
May 28, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22403-M AR Primary

Addresses

Primary practice location

205 W Bond Ave
West Memphis, AR 72301

Mailing address

PO Box 11064
Fayetteville, AR 72703-1001
Phone (870) 520-5014

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

LicenseStateTypeSpecialty
22403-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Logan Centers, Inc. CurrentSince Oct 26, 2021 Accepting new patients

Locations

1800 Lindauer Rd
Forrest City, AR 72335
Phone (870) 208-9333

3305 E Highland Dr
Ste B
Jonesboro, AR 72401
Phone (870) 351-0144

2711 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 215-0622

204 N Rhodes St
West Memphis, AR 72301
Phone (870) 400-8080

205 W Bond Ave
West Memphis, AR 72301
Phone (870) 208-9333

1792 Falls Blvd N
Ste 5
Wynne, AR 72396
Phone (870) 208-9333

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.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1750121885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11064",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031001",
            "telephone_number": "870-520-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "901-216-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "22403-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.