Mandy Klein LCSW, RPT-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001-C Issued in AR

Legal business name

MANDY KLEIN LCSW, RPT-S

Practice address

2913 King St
Ste 3
Jonesboro, AR 72401-5322

Phone

(870) 275-7408

Fax

(866) 591-1451

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Mandy Klein, LCSW, RPT-SNPI 1306862966

Title

Owner

Phone

(901) 430-5009

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Klein Family Counseling Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandy Klein, LCSW

  • Clinical Social Worker
  • Bartlett, TN
  • NPI 1306862966
  NPD Authorized official
• Rachael Cauley Loudenslager, LMSW

  • Social Worker
  • Bartlett, TN
  • NPI 1295403608
  NPD
• Aubrey Noble, M.S.

  • Professional Counselor
  • Bartlett, TN
  • NPI 1750722054
  NPD

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1811287303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 KIRBY WHITTEN RD STE 203D",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342853",
            "telephone_number": "901-430-5009",
            "fax_number": "901-284-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KING ST",
            "address_2": "STE 3",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015322",
            "telephone_number": "870-275-7408",
            "fax_number": "866-591-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY KLEIN LCSW, RPT-S",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-430-5009",
        "authorized_official_credential": "LCSW, RPT-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2001-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185952744",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044193",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klein Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charisse L Malone
• Christopher R Malone, OT
• Jenna Malone
• Kelsey Raye Maloney, CSFA
• Christy K Manatt
• Yolanda Maney, MHPP
• David Mangis, RN
• Jonna Manley
• Kenneth F Manley
• Mallory Brooke Manley, RN

• 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 Sep 24, 2019; 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.