Individual provider Active NPI

Kelsey M Lewis, MSW, LCSW

  • Clinical Social Worker
  • Harrison, AR
National Provider Identifier
1316256753
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4729-C Issued in AR
Practice address
114 E Crandall Ave # B
Harrison, AR 72601-3628
Phone
(870) 741-8484
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2022022313 MO
Clinical Social Worker 1041C0700X 4729-C AR Primary

Addresses

Primary practice location

114 E Crandall Ave # B
Harrison, AR 72601-3628

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other practice location 1

1340 S Waldron Rd
Fort Smith, AR 72903-2556
Phone (479) 452-5040

Other practice location 2

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8300

Other identifiers 1

IdentifierTypeStateIssuer
227954719MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161102002081 AR Practitioner - Clinical Social Worker 9133407737 Reassigns benefits to 1 organization
I20220624001631 MO Practitioner - Clinical Social Worker 9133407737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4729-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Burrell, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Centers for Youth and Families, Inc. CurrentSince Feb 9, 2019 Accepting new patients
Perspectives Behavioral Health Management, LLC Counselor PastSince Feb 1, 2012 Accepting new patients
Perspectives Behavioral Health Management, LLC Social Worker Past Accepting new patients

Locations

5800 W 10th St
Ste 101
Little Rock, AR 72204
Phone (501) 660-6886

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1423 N Jefferson Ave
Ste D200
Springfield, MO 65802
Phone (417) 761-5820

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1316256753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E CRANDALL AVE # B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013628",
            "telephone_number": "870-741-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Waldron Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729032556",
            "country_code": "US",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KELSEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022022313",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4729-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227954719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.