Individual provider Active NPI

Susan Elaine Tonymon, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1932747656
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5932-C Issued in AR
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

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5932-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Day by Day: a Center for Health and Healing Past Accepting new patients
Wild Fig, LLC PastSince Dec 15, 2024 Accepting new patients
University of Arkansas for Medical Sciences PastSince Apr 30, 2023 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.

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.

Verify at the official NPI Registry.