Active NPI
Kira Rinehart Kennedy, LCSW
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1316310477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7662-C
- Practice address
- 4 Executive Center CT
Little Rock, AR 72211-4487 - Phone
- (501) 725-8008
- Fax
- (501) 725-8009
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7662-C | AR | Primary |
Addresses
Primary practice location
4 Executive Center CT
Little Rock, AR 72211-4487
Mailing address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone (501) 725-8008
Other practice location 1
1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6676
Phone (501) 661-0720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7662-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1316310477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EXECUTIVE CENTER CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114487",
"telephone_number": "501-725-8008",
"fax_number": "501-725-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EXECUTIVE CENTER CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114487",
"telephone_number": "501-725-8008",
"fax_number": "501-725-8009"
}
],
"practiceLocations": [
{
"address_1": "1600 Aldersgate Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722056676",
"country_code": "US",
"telephone_number": "501-661-0720",
"fax_number": "501-661-0720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "KIRA",
"middle_name": "RINEHART",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7662-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.