Active NPI
Kateri Barbara Killman, LCSW
- Clinical Social Worker
- Farmington, AR
National Provider Identifier
1023317914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2463-C
- Practice address
- 128 Southwinds Rd Ste 5
Farmington, AR 72730-8652 - Phone
- (479) 267-6934
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2463-C | AR | Primary |
Addresses
Primary practice location
128 Southwinds Rd Ste 5
Farmington, AR 72730-8652
Mailing address
17682 Ridgeway LN
Siloam Springs, AR 72761-5260
Phone (479) 599-9385
Other practice location 1
2508 SE 20th St
Bentonville, AR 72712-4008
Phone (479) 273-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1023317914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17682 RIDGEWAY LN",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727615260",
"telephone_number": "479-599-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 SOUTHWINDS RD STE 5",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727308652",
"telephone_number": "479-267-6934"
}
],
"practiceLocations": [
{
"address_1": "2508 SE 20th St",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727124008",
"country_code": "US",
"telephone_number": "479-273-9088",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLMAN",
"first_name": "KATERI",
"middle_name": "BARBARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2463-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.