Healthcare Provider Details

I. General information

NPI: 1164062147
Provider Name (Legal Business Name): STEPHANIE M JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 HIGDON FERRY RD
HOT SPRINGS AR
71913-6128
US

IV. Provider business mailing address

1310 W MAIN ST STE 201
RUSSELLVILLE AR
72801-2803
US

V. Phone/Fax

Practice location:
  • Phone: 501-397-1495
  • Fax: 501-397-1495
Mailing address:
  • Phone: 479-968-2001
  • Fax: 479-964-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10227C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: