Kennethya Smith-Johnson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

9904 Merlot LN
North Little Rock, AR 72118-1162

Phone

(870) 550-3703

NPI assigned

May 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maci Scudder TherapyGroup PAC ID 3274974654, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Maci Scudder Therapy

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1669254181
  Medicare reassignment Care Compare group NPD
• Thriveworks Telepsychiatry - Arkansas

  • Mental Health Counselor
  • Fayetteville, AR
  • NPI 1669130928
  NPD

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1851770937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "502-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 MERLOT LN",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181162",
            "telephone_number": "870-550-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-JOHNSON",
        "first_name": "KENNETHYA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7600-C",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Skaggs, PHD
• Skyline Therapy Services LLC
• Kathryn Lynn Slay, M.S., CCC-SLP
• Sleep Centers of Arkansas
• Jacqueline Smiley, APRN
• Albert Smith
• Alexis Montrel Smith
• Angela A Smith, LCSW
• Annette Smith
• Baylee Smith

• Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.