Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Van Bivens, LCSW

Individual provider Clinical Social Worker · NPI 1952683377

Van Bivens, LCSW is a Clinical Social Worker in Fort Smith, Arkansas. Qualified in 2010, 16 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
16
Licensed in
AR
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3111 S 70th St
Fort Smith, AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 452-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3250-C (AR)

Record details

NPI number1952683377
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 12, 2011
Last updated in NPPESApril 17, 2013
Mailing addressPo Box 11818, Fort Smith, AR 72917-1818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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