Individual provider Active NPI

Kristie Dawn Nesbitt, LCSW

  • Clinical Social Worker
  • Mountain View, AR
National Provider Identifier
1629723945
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9930-C Issued in AR
Practice address
503 W Main St Ste 3
Mountain View, AR 72560-9167
Phone
(870) 269-1337
Fax
(870) 269-1338
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 9930-C AR Primary

Addresses

Primary practice location

503 W Main St Ste 3
Mountain View, AR 72560-9167

Mailing address

PO Box 390
Mountain View, AR 72560-0390
Phone (870) 269-1337

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
I20250114002883 AR Practitioner - Clinical Social Worker 4688102940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Behavioral Counseling, PLC 2 clinicians

Practice addresses (Care Compare)

503 W Main St
Suite 3
Mountain View, AR 72560-9167
Phone (870) 269-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9930-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Behavioral Counseling PLC CurrentSince Nov 3, 2025 Accepting new patients
Creoks Mental Health Services CurrentSince Nov 11, 2024 Accepting new patients
Creoks Mental Health Services CurrentSince Nov 11, 2024 Accepting new patients

Locations

301 Industrial Dr
Mountain View, AR 72560
Phone (870) 269-6022

Organizations & group practices 3

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1629723945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600390",
            "telephone_number": "870-269-1337",
            "fax_number": "870-269-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W MAIN ST STE 3",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725609167",
            "telephone_number": "870-269-1337",
            "fax_number": "870-269-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "KRISTIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9930-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.