Active NPI
Mary Kelly Cardillo, LMSW
- Social Worker
- Springdale, AR
National Provider Identifier
1336022615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27451-M
- Practice address
- 614 E Emma Ave Ste 300
Springdale, AR 72764-4469 - Phone
- (855) 438-2280
- NPI assigned
- Jul 25, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 27451-M | AR | Primary |
Addresses
Primary practice location
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Mailing address
226 S Hill Ave Apt 102
Fayetteville, AR 72701-5770
Phone (813) 493-6590
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 |
|---|---|---|---|
| 27451-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1336022615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 S HILL AVE APT 102",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015770",
"telephone_number": "813-493-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 E EMMA AVE STE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "855-438-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDILLO",
"first_name": "MARY",
"middle_name": "KELLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "27451-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.