Alexandria Rose Kerr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10106-C Issued in AR

Practice address

11640 Rock Creek Rd
Mulberry, AR 72947-8809

Phone

(479) 515-8700

Fax

(479) 255-4172

NPI assigned

Jul 22, 2021

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  Medicare reassignment NPD
• Stable Steps, LLC

  • Clinical Social Worker
  • Mulberry, AR
  • NPI 1346097409
  NPD Authorized official
• Courage Therapeutic Riding Center, Inc.

  • Social Worker
  • Prairie Grove, AR
  • NPI 1336797935
  Authorized official Same address or phone
• Transitions Counseling Clinic PLC

  • Professional Counselor
  • De Queen, AR
  • NPI 1902501281

  Clinical

  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124691506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ROCK CREEK RD",
            "city": "MULBERRY",
            "state": "AR",
            "postal_code": "729478809",
            "telephone_number": "479-883-9468",
            "fax_number": "479-255-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ROCK CREEK RD",
            "city": "MULBERRY",
            "state": "AR",
            "postal_code": "729478809",
            "telephone_number": "479-515-8700",
            "fax_number": "479-255-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 S 20th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014815",
            "country_code": "US",
            "telephone_number": "479-595-0333",
            "fax_number": "479-255-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "ALEXANDRIA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10106-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Renee Entrekin, OTRL
• Sheila Nicole Gilbert
• Jonathan Griffith
• Cassandra Jeffries, QBHP
• Jerod Johnson, MS
• Edward Dale Lyons, PHARM D
• Whitley McCormic
• Candace Nicole Meinardus
• Alicia Monterrosa
• Mulberry Lodge CSSP, LLC

• Clinical Social Worker in Mulberry, AR
• Providers in Mulberry, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.