Kaleidoscope Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KALEIDOSCOPE CLINIC

Practice address

552 Locust Ave
Conway, AR 72034-5325

Phone

(501) 548-9959

Fax

(888) 269-8847

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Courtney McPherson, LCSWNPI 1508347055

Title

Owner

Phone

(501) 548-9959

Specialties & licenses 1

Addresses

Practitioners 1

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

• Courtney McPherson, LCSW

  • Clinical Social Worker
  • Conway, AR
  • NPI 1508347055
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1942044599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1801",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331801",
            "telephone_number": "501-548-9959",
            "fax_number": "888-269-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LOCUST AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345325",
            "telephone_number": "501-548-9959",
            "fax_number": "888-269-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-548-9959",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karamba Rouguiatou Kaba
• Suman Kadariya
• Puneet Kahlon
• Kairos Foundation
• Rachel Kakalia, CCC-SLP
• Lena Kaltenbrunner
• Ameara Karamar, RECOVERY ASSISTANT
• Olufadejimi Atanda Kareem, MD
• Karen Young MD.PA
• Karl H. Landberg, M.D., P.a.

• Clinical Social Worker in Conway, AR
• Providers in Conway, 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 Jun 20, 2024; 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.