Active NPI
Susan Elaine Tonymon, LCSW
- Clinical Social Worker
- Fayetteville, AR
National Provider Identifier
1932747656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5932-C
- Practice address
- 3425 N Futrall Dr
Fayetteville, AR 72703-4811 - Phone
- (479) 713-8350
- Fax
- (479) 332-0701
- NPI assigned
- Dec 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5932-C | AR | Primary |
Addresses
Primary practice location
3425 N Futrall Dr
Fayetteville, AR 72703-4811
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
1041 N Garland Ave
Fayetteville, AR 72701-1722
Phone (479) 301-5290
Other practice location 2
215 N East Ave Ste 102
Fayetteville, AR 72701-5296
Phone (479) 301-5290
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5932-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day by Day: a Center for Health and Healing | Past | Accepting new patients | |
| Wild Fig, LLC | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Springdale, AR
- NPI 1558978858
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, AR
- NPI 1770399305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1932747656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034811",
"telephone_number": "479-713-8350",
"fax_number": "479-332-0701"
}
],
"practiceLocations": [
{
"address_1": "1041 N Garland Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727011722",
"country_code": "US",
"telephone_number": "479-301-5290",
"fax_number": "479-435-6276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 N East Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727015296",
"country_code": "US",
"telephone_number": "479-301-5290",
"fax_number": "479-435-6276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONYMON",
"first_name": "SUSAN",
"middle_name": "ELAINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "5932-C",
"primary": true
}
],
"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 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.