Kelly Anne Smith, LCSW
NPI 1063757052ActiveIndividual· Social Worker, Clinical· Rogers, AR
Social Worker, Clinical (LCSW) in Rogers, Arkansas, licensed in AR, with an NPI issued in December 2012. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1063757052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Dec 3, 2012 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 9759-C | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AR) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 49 clinical social workers in Rogers · All clinical social workers in Arkansas