Individual provider Active NPI

Kirra Anjelle Williams, LCSW

  • Clinical Social Worker
  • Mabelvale, AR
National Provider Identifier
1245644434
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6725-C Issued in AR
Practice address
8302 Oxford Valley Dr
Mabelvale, AR 72103-2331
Phone
(501) 508-9822
NPI assigned
Jun 16, 2014
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 6725-C AR Primary

Addresses

Primary practice location

8302 Oxford Valley Dr
Mabelvale, AR 72103-2331

Mailing address

8302 Oxford Valley Dr
Mabelvale, AR 72103-2331
Phone (501) 508-9822

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
I20250124000236 AR Practitioner - Clinical Social Worker 7719416569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Supportive Psych Care of Arkansas PA Clinical CurrentSince Jan 15, 2026 Accepting new patients
Thriveworks Telepsychiatry - Arkansas Mental Health CurrentSince May 10, 2022 Accepting new patients
Finding Fynergy LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

685 Shelby Trl
Ste 105
Conway, AR 72034
Phone (501) 406-0504

4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1245644434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 OXFORD VALLEY DR",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032331",
            "telephone_number": "501-508-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 OXFORD VALLEY DR",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032331",
            "telephone_number": "501-508-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIRRA",
        "middle_name": "ANJELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6725-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mabelvale, AR

Sources for this page

Verify at the official NPI Registry.