Individual provider Active NPI

Kevin Lavelle Barnett, LCSW

  • Clinical Social Worker
  • Pine Bluff, AR
National Provider Identifier
1336408533
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8667-C Issued in AR
Practice address
1219 W 6TH Ave
Pine Bluff, AR 71601-3927
Phone
(870) 395-7188
NPI assigned
May 8, 2012
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 8667-C AR Primary

Addresses

Primary practice location

1219 W 6TH Ave
Pine Bluff, AR 71601-3927

Mailing address

1219 W 6TH Ave
Pine Bluff, AR 71601-3927
Phone (870) 395-7188

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
I20201125001416 AR Practitioner - Clinical Social Worker 0840601746 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8667-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lumina Revenue Cycle Management LLC CurrentSince Oct 20, 2021 Accepting new patients
Covenant Recovery Inc CurrentSince Nov 12, 2025 Accepting new patients
Recovery Resources LLC CurrentSince May 10, 2026 Accepting new patients
Identity Behavior Health Services, LLC Past Accepting new patients

Locations

4301 S 16th St
Fort Smith, AR 72901
Phone (479) 242-1003

276 Linden St
Hot Springs, AR 71901
Phone (501) 226-6810

4621 Asher Ave
Little Rock, AR 72204
Phone (501) 454-6811

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1336408533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 W 6TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013927",
            "telephone_number": "870-395-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 W 6TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013927",
            "telephone_number": "870-395-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "KEVIN",
        "middle_name": "LAVELLE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8667-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.