Lisa A. Kennedy, LCSW
NPI 1649571183ActiveIndividual· Social Worker, Clinical· Little Rock Afb, AR
Social Worker, Clinical (LCSW) with Mental Health Specialty Group PA and 1 other group, practicing in Little Rock Afb, Arkansas. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1649571183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 16, 2010 |
| Last updated in NPPES | Jul 19, 2022 |
| Certified by provider | Jul 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2461-C | AR |
| Counselor, Mental Health | 101YM0800X | 2461-C | AR |
| Marriage & Family Therapist | 106H00000X | 2461-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); Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Mental Health Specialty Group PALake Worth, FL · 801 clinicians
- Brightside Medical of Michigan PCAtlanta, GA · 91 clinicians
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All 21 clinical social workers in Little Rock Afb · All clinical social workers in Arkansas