Organization
FORT SMITH BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DOUGLAS CHIOVOLONI DSW, LCSW (CLINICAL SOCIAL WORKER)
(479) 494-7889
Entity
Organization
Contact information
Practice address
1620 S 46TH ST, FORT SMITH, AR 72903-3129
(479) 494-7000
(479) 494-7889
Mailing address
1620 S 46TH ST, 1620 S 46TH STREET, FORT SMITH, AR 72903-3129
(479) 494-7889
(479) 494-7890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023
CCDP
AR
01
—
0251L
LADAC
AR
01
—
061083
CGP
—
01
—
203767
ICAADC
—
01
—
2295C
LCSW
AR
01
—
400690
ICCDPD
—
01
—
A-289
AADC
AR
01
—
CS-2058
ARKANSAS SUBSTANCE ABUSE CERTIFICATION BOARD
AR
Enumeration date
09/08/2010
Last updated
10/24/2024
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