Adams, Stacy Leeann

Adams, Stacy Leeann is an individual health care provider with primary practice located at 1815 Pleasant Grove Rd , Jonesboro AR 72401-7870. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Adams, Stacy Leeann can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Rd Jonesboro AR 72401-7870
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 3013-M Arkansas

Profile Details

NPI number 1922382878
LBN Legal business name Adams, Stacy Leeann
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated May 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922382878 NPPES
Arkansas MEDICAID 189031795

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