Keena Michelle Reddin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6572-C Issued in AR

Practice address

218 Union St Ste C
Jonesboro, AR 72401-2831

Phone

(870) 530-6104

Fax

(888) 528-5016

NPI assigned

Dec 28, 2015

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Eating Disorders and Behavioral Wellness PLC

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1336633387
  Medicare reassignment NPD Authorized official
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• St. Bernards Hospital, Inc

  dba St. Bernards Pregnancy Clinic

  • Obstetrics Physician
  • Jonesboro, AR
  • NPI 1518327287
  Medicare reassignment NPD
• Families, Inc. of Arkansas

  dba Families, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocahontas, AR
  • NPI 1275623035
  NPD
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1346301306
  NPD
• St Bernards Hospital Inc.

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  NPD

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1497110043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 UNION ST STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012831",
            "telephone_number": "870-530-6104",
            "fax_number": "888-528-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 UNION ST STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012831",
            "telephone_number": "870-530-6104",
            "fax_number": "888-528-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDIN",
        "first_name": "KEENA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6572-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Redd
• Vershandale Redden
• Jessica Reddick, LPN
• Taylor Reddick
• Tiffany L Reddick
• Vijay Reddy, MD.
• Tami Redus, LMSW
• Courtney Bysshe Reed
• Demetra C Reed, LMSW
• Ethan Reed

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.