Organization
FORT SMITH BEHAVIORAL HEALTH INC
Active
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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