Kelly Nichole Lenderman – Clinical Social Worker

Key facts

NPI: 1285043588
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 8367-C (AR)
Practice address: 1101 Morgan Street
Paragould, AR 72450-3949
Phone: (870) 335-9483
Fax: (870) 335-9483
NPI assigned: Aug 12, 2014
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Families, Inc of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Jonesboro, AR · NPI 1770535569

Medicare reassignment Care Compare group NPD AR
Families, Inc. of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Paragould, AR · NPI 1386728681

NPD
Families, Inc. of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Pocahontas, AR · NPI 1275623035

NPD (past)
Families, Inc. of Arkansas Mental Health Clinic/Center (Including Community Mental Health Center) · Piggott, AR · NPI 1821533159

NPD (past)

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Families, Inc of Arkansas (44 clinicians)

Practice addresses (Care Compare)

1425 W Main St
Walnut Ridge, AR 72476-1431
Phone (870) 886-5303

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201028002573	AR	Practitioner - Clinical Social Worker	1456761634	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
8367-M	AR	MD	Social Worker

Practice roles

Organization	Status	New patients
Families, Inc of Arkansas	Current since Oct 6, 2020	Accepting new patients
Families, Inc. of Arkansas	Current since Oct 6, 2020	Accepting new patients
Families, Inc. of Arkansas	Past since Nov 8, 2020	Accepting new patients
Families, Inc. of Arkansas	Past	Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

1101 W Morgan St
Ste 8
Paragould, AR 72450
Phone (870) 335-9483

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	8367-M	AR
Clinical Social Worker	1041C0700X	8367-C	AR	Yes

Addresses

Primary practice location

1101 Morgan Street
Paragould, AR 72450-3949

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other names

Kelly Lenderman Other name

Other providers in Paragould, AR

All providers in Paragould, AR · Clinical Social Worker in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.