Individual provider Active NPI

Kelly Nugent Sherman-Hester, LCSW

  • Counselor
  • Little Rock, AR
National Provider Identifier
1508303322
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7933-M Issued in AR
Practice address
900 S Shackleford Rd Ste 300
Little Rock, AR 72211-3848
Phone
(501) 425-8845
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7933-M AR Primary
Clinical Social Worker 1041C0700X 7933-C AR

Addresses

Primary practice location

900 S Shackleford Rd Ste 300
Little Rock, AR 72211-3848

Mailing address

900 S Shackleford Rd Ste 300
Little Rock, AR 72211-3848
Phone (501) 425-8845

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kshermanhester@therapyworkslr.com Health Information Exchange (HIE)

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
I20190429002203 AR Practitioner - Clinical Social Worker 2961744644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8221 Ranch Blvd
Little Rock, AR 72223-4616
Phone (501) 425-8845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7933-MARMDCounselor
7933-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapyworks CurrentSince Apr 1, 2021 Accepting new patients

Locations

8221 Ranch Blvd
Little Rock, AR 72223
Phone (501) 400-4988

8221 Ranch Blvd
Ste A1
Little Rock, AR 72223
Phone (501) 291-2032

900 S Shackleford Rd
Ste 300
Little Rock, AR 72211
Phone (501) 425-8845

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1508303322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113848",
            "telephone_number": "501-425-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S SHACKLEFORD RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113848",
            "telephone_number": "501-425-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN-HESTER",
        "first_name": "KELLY",
        "middle_name": "NUGENT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "7933-M",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7933-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kshermanhester@therapyworkslr.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 S Shackleford Rd Ste 300",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722113848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.