Individual
MATTHEW FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5000
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11212-M
AR
1041C0700X
Clinical Social Worker
2019027209
MO
1041C0700X
Clinical Social Worker
Primary
2022042255
MO
1041C0700X
Clinical Social Worker
PENDING
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
AR
Enumeration date
04/16/2021
Last updated
04/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us