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Kaitlin Rheane' Parker, LCSW

Individual provider Active NPI Clinical Social Worker · Little Rock, AR

NPI 1336877307 · NPPES record last updated Jul 31, 2025

Key facts

NPI
1336877307
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
12167-C (AR)
Practice address
12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone
(501) 891-5492
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12167-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Plus Counseling & Diagnostics LLC Current
since Aug 14, 2022		 Accepting new patients

Locations

12921 Cantrell Rd
Ste 105
Little Rock, AR 72223
Phone (501) 891-5492

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12167-C AR Yes

Addresses

Primary practice location

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798

Mailing address

9805B Jacksonville Cato Rd # RS
Sherwood, AR 72120-1952
Phone (501) 916-0294

Other providers in Little Rock, AR

All providers in Little Rock, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.