Kelly Elizabeth Dundon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10198-M Issued in AR

Practice address

5507 W Walsh LN Ste 201
Rogers, AR 72758-8995

Phone

(479) 595-0333

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kelly Dundon PLLC

  • Clinical Social Worker
  • Bella Vista, AR
  • NPI 1346064870
  NPD Authorized official
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1982286142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GAMLINGAY LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141819",
            "telephone_number": "469-449-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 W WALSH LN STE 201",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588995",
            "telephone_number": "479-595-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDON",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10198-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DTR Medical, Inc
• Gabriella Duchesne
• Cole Duncan, DMD
• Joshua Duncan
• Dawn Dundas, LMSW
• Mary Dupuy
• Hillary Duran
• Emma Kate Duvall
• Cassie Jackson Dyer, M.D.
• Walker Dyer, APRN

• Social Worker in Rogers, AR
• Providers in Rogers, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.