Individual provider Active NPI

Lisa Kilcrease, LCSW

  • Clinical Social Worker
  • Monticello, AR
National Provider Identifier
1053439836
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2392-C Issued in AR
Practice address
1371 Highway 278 W
Monticello, AR 71655-9663
Phone
(870) 367-2141
Fax
(870) 367-2103
NPI assigned
Mar 27, 2007
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2392-C AR Primary

Addresses

Primary practice location

1371 Highway 278 W
Monticello, AR 71655-9663

Mailing address

136 Dreams End
Monticello, AR 71655-9662
Phone (870) 367-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000577 AR Practitioner - Clinical Social Worker 7214126010 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delta Counseling Associates IncGroup PAC ID 1850377508, 15 clinicians

Practice addresses (Care Compare)

790 Roberts Dr
Monticello, AR 71655-5723
Phone (870) 367-2461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, Inc. CurrentSince Jun 7, 2021 Accepting new patients
Vera Lloyd Presbyterian Family Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Lotus Valley Health and Wellness, LLC CurrentSince Jul 1, 2023 Accepting new patients
Lotus Valley Health and Wellness, LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Dayspring Services of Arkansas LLC Past Accepting new patients

Locations

1820 Central Ave
Ste E
Hot Springs National Park, AR 71901
Phone (501) 463-4627

1820 Central Ave
Ste K
Hot Springs National Park, AR 71901
Phone (501) 463-6969

1501 N University Ave
Ste 345
Little Rock, AR 72207
Phone (870) 367-9035

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1053439836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DREAMS END",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559662",
            "telephone_number": "870-367-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 HIGHWAY 278 W",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559663",
            "telephone_number": "870-367-2141",
            "fax_number": "870-367-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCREASE",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2392-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.