Stacey Kuchinski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1502 Mary Kay Blvd
Benton, AR 72015

Phone

(501) 315-3344

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blue Sky Hope and Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bryant, AR
  • NPI 1750863049
  Medicare reassignment NPD Authorized official
• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1942243571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N PRICKETT ROAD SUITE #5",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "72022",
            "telephone_number": "501-416-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MARY KAY BLVD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-315-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NW 4th St Bldg 600",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720223424",
            "country_code": "US",
            "telephone_number": "501-847-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHINSKI",
        "first_name": "STACEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942243571",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Kreulen
• Kimberly Krippendorf, RECOVERY ASSISTANT
• Anna Elizabeth Krizman, M.S. SLP-CF
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Mary Kutner
• Alexsey Kuzmin, RECOVERY ASSISTANT
• Brenda Kaye Labarber, AGACNP-BC
• Jessica Laflamme, RECOVERY ASSISTANT
• Jenna Jo Lamaster, M.A., LPC

• Clinical Social Worker in Benton, AR
• Providers in Benton, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.