Kelli Denton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6958-C Issued in AR

Practice address

7800 Highway 107
Sherwood, AR 72120-5200

Phone

(501) 834-4174

Fax

(501) 834-4179

NPI assigned

Aug 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lonoke, AR
  • NPI 1356965990
  NPD (past)
• Professional Counseling Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sherwood, AR
  • NPI 1255954905
  NPD (past)

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1134477003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15968",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315968",
            "telephone_number": "501-221-1843",
            "fax_number": "501-221-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 HIGHWAY 107",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205200",
            "telephone_number": "501-834-4174",
            "fax_number": "501-834-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6958-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samayah Deadmon
• Janice Ellen Dean, PHD
• Avery Dearworth
• Susan K Delap, M.D.
• Sadie Michelle Delgiorno, RBT
• Shaytrese Deshazer
• Kymberly Devitt, O.D.
• Katlyn Morgan Dick, BT
• Brenda Maria Dodson
• Teresa Jane Dollar

• Clinical Social Worker in Sherwood, AR
• Providers in Sherwood, 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 Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.