Healthcare Provider Details

I. General information

NPI: 1326958497
Provider Name (Legal Business Name): ROSE HUGHES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S 21ST ST
FORT SMITH AR
72901-3915
US

IV. Provider business mailing address

620 S 21ST ST
FORT SMITH AR
72901-3915
US

V. Phone/Fax

Practice location:
  • Phone: 479-434-6338
  • Fax: 479-783-1914
Mailing address:
  • Phone: 479-434-6338
  • Fax: 479-783-1914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28787-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: