Individual provider Active NPI

Dawna Bishop Stevens, LCSW, LADAC, SAP

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1831384833
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2535-C Issued in AR
Practice address
1130 E Millsap Rd
Balance Road Ctr for Counseling & SW--Basement Ste
Fayetteville, AR 72703-5150
Phone
(479) 422-2280
Fax
(479) 616-1618
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0252L AR
Clinical Social Worker 1041C0700X 2535-C AR Primary
Mental Health Counselor 101YM0800X 2535-C AR

Addresses

Primary practice location

1130 E Millsap Rd
Balance Road Ctr for Counseling & SW--Basement Ste
Fayetteville, AR 72703-5150

Mailing address

PO Box 10348
Fayetteville, AR 72703-0041
Phone (479) 422-2280

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0252LARMDAddiction (Substance Use Disorder) Counselor
2535-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Road PLLC PastSince Apr 19, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1831384833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10348",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030041",
            "telephone_number": "479-422-2280",
            "fax_number": "479-616-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MILLSAP RD",
            "address_2": "BALANCE ROAD CTR FOR COUNSELING & SW--BASEMENT STE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035150",
            "telephone_number": "479-422-2280",
            "fax_number": "479-616-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DAWNA BISHOP",
        "credential": "LCSW, LADAC, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "0252L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2535-C",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "2535-C",
            "primary": false
        }
    ],
    "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 Apr 19, 2011; 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.