MARIA T GRACE (LCSW) – Clinical Social Worker, NPI 1124705645

MARIA T GRACE (LCSW) is a healthcare provider. based in Springdale, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 12838-C (AR). The NPI Number for MARIA T GRACE (LCSW) is 1124705645

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MARIA T GRACE (LCSW)
NPI
1124705645
Phone
(479) 750-2020
Address
2400 S 48TH ST
Enumeration Date
28 June 2023
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797502020
Graduation Year
2023 (3 years ago)
PAC ID
8820588049
Group Practice PAC ID
7214833730
Professional Enrollment ID
I20251106002621
Address ID
AR727626683SP2400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for MARIA T GRACE (LCSW)

  • 2400 S 48TH ST

    SPRINGDALE, AR 727626683

    Phone: (479) 750-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251106002621IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214833730View full group profile
NameSpecialtyState
Mental Health CounselorAR
Clinical Social WorkerAR
-AR
Clinical Social WorkerAR
-AR
-AR
-AR
Mental Health CounselorAR
Mental Health CounselorAR
Nurse PractitionerKS

Reviews

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Frequently asked questions

What federal number belongs to MARIA T GRACE (LCSW)?
The federal identifier for MARIA T GRACE (LCSW) is NPI 1124705645.
Is MARIA T GRACE (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARIA T GRACE (LCSW)?
The page reflects Clinical Social Worker for MARIA T GRACE (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for MARIA T GRACE (LCSW)?
We surface Springdale, Arkansas for MARIA T GRACE (LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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