Stover, Andrew

Stover, Andrew is an individual health care provider with primary practice located at 900 S 52Nd St 200, Rogers AR 72758-8637. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stover, Andrew can be contacted via phone (479) 254-1100.

Contact Information

Primary practice address
900 S 52Nd St 200 Rogers AR 72758-8637
Phone: (479) 254-1100
Fax: (479) 254-2997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6588-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1942564182
LBN Legal business name Stover, Andrew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated May 13th, 2016 - about 8 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 1942564182 NPPES
Arkansas MEDICAID 197277744

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