Maria Vasquez

Individual provider Active NPI Social Worker · Booneville, AR

NPI 1861363798 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1861363798
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
PLMSW (AR)
Practice address
174 N Welsh Ave
Booneville, AR 72927-4130
Phone
(479) 675-3909
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PLMSW AR Yes

Addresses

Primary practice location

174 N Welsh Ave
Booneville, AR 72927-4130

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2025.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1861363798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 N WELSH AVE",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274130",
            "telephone_number": "479-675-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "PLMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

All providers in Booneville, AR · Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.