Provider Demographics
NPI:1518016450
Name:CHUPIK, ARTHUR WAYNE (MSW)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:WAYNE
Last Name:CHUPIK
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 PINE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-2605
Mailing Address - Country:US
Mailing Address - Phone:254-368-9699
Mailing Address - Fax:501-664-8546
Practice Address - Street 1:1715 PINE VALLEY RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-2605
Practice Address - Country:US
Practice Address - Phone:254-368-9699
Practice Address - Fax:501-664-8546
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144101YA0400X
TX8921101YP2500X
AR2415-C1041C0700X
TX0001000-000091106H00000X
TX98422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health