Kristin Agar, LCSW, CIP, CAI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-005 Issued in AR

Practice address

2723 Foxcroft Rd
Suite 310
Little Rock, AR 72227-2455

Phone

(501) 258-5393

Fax

(501) 614-9444

NPI assigned

May 9, 2007

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1649484908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272455",
            "telephone_number": "501-258-5393",
            "fax_number": "501-614-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272455",
            "telephone_number": "501-258-5393",
            "fax_number": "501-614-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAR",
        "first_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CIP, CAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "005-C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "005-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "C-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, 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 Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.