Individual
CAISA GRACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3623 JOHNSON MILL BLVD, SUITE 103, SPRINGDALE, AR 72762-6412
(479) 435-4207
(479) 935-3180
Mailing address
PO BOX 9541, FAYETTEVILLE, AR 72703-0028
(479) 435-4207
(479) 935-3180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
PLMSW
AR
1041C0700X
Clinical Social Worker
Primary
13055-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306062795
—
AR
Enumeration date
08/15/2023
Last updated
12/02/2025
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