Individual provider Active NPI

Kalishi Lee-Farsee, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1366784381
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4702-C Issued in AR
Practice address
11501 Financial Centre Pkwy
Little Rock, AR 72211-3715
Phone
(501) 604-4762
NPI assigned
Mar 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 4702-C AR Primary

Addresses

Primary practice location

11501 Financial Centre Pkwy
Little Rock, AR 72211-3715

Mailing address

5401 JFK Blvd Ste I
North Little Rock, AR 72116-6740
Phone (501) 758-9993

Other practice location 1

5401 JFK Blvd Ste I
North Little Rock, AR 72116-6740
Phone (501) 758-9993

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
I20230828002611 AR Practitioner - Clinical Social Worker 6305209156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Adult Psychotherapy Center PLLCGroup PAC ID 3173892148, 3 clinicians

Practice addresses (Care Compare)

5401 JFK
North Little Rock, AR 72116-6756

5401 JFK Blvd
Suite 1
North Little Rock, AR 72116-6756
Phone (501) 758-9993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1366784381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 JFK BLVD STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "501-758-9993",
            "fax_number": "501-758-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 FINANCIAL CENTRE PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113715",
            "telephone_number": "501-604-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 JFK Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721166740",
            "country_code": "US",
            "telephone_number": "501-758-9993",
            "fax_number": "501-758-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-FARSEE",
        "first_name": "KALISHI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4702-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.