Active NPI
Andrew Stover, LCSW
- Clinical Social Worker
- Rogers, AR
National Provider Identifier
1942564182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 900 S 52ND St
200
Rogers, AR 72758-8637 - Phone
- (479) 254-1100
- Fax
- (479) 254-2997
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6588-M | AR | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
900 S 52ND St
200
Rogers, AR 72758-8637
Mailing address
900 S 52ND St
200
Rogers, AR 72758-8637
Phone (479) 254-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197277744 | Medicaid | AR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6588-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1942564182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 52ND ST",
"address_2": "200",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588637",
"telephone_number": "479-254-1100",
"fax_number": "479-254-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 52ND ST",
"address_2": "200",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588637",
"telephone_number": "479-254-1100",
"fax_number": "479-254-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "ANDREW",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "6588-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197277744",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.