Individual
MS. STACIE LEE CHALUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4224 SHUFFIELD DR, LITTLE ROCK, AR 72205-7211
(501) 526-8200
(501) 526-5296
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7624-C
AR
1041C0700X
Clinical Social Worker
7624-M
AR
171M00000X
Case Manager/Care Coordinator
7624-M
AR
Other
Enumeration date
12/09/2020
Last updated
11/30/2021
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