AMANDA H KELLEY (NPI# 1023587524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023587524 |
| Entity Type | Individual |
| Full Name | AMANDA H KELLEY |
| Credential | LCSW |
| Practice Address |
110 N Drew St Star City AR 71667 |
| Mailing Address |
Po Box 509 Dermott AR 71638-0509 |
| Practice Telephone | 8706285110 |
| Practice Fax Number | 8558546281 |
| Mailing Telephone | 8705385414 |
| Mailing Fax Number | 8705385412 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235528878 | Amanda Kelley | Pharmacist | 2822 Indianwood Way, Sarasota, FL 34232-6013 | 2015-01-20 |
| 1801146220 | Amanda Kelley | Occupational Therapist | 4343 Loyola Ave, Alexandria, VA 22304-1033 | 2012-09-13 |
| 1790068377 | Amanda Kerr Kelley | Pharmacist | 922 E Mainst, Pharmacy, Laurens, SC 29360-3616 | 2011-09-21 |
| 1124274592 | Amanda Kelley | Developmental Therapist | 48 Meadowview Ct, Campbellsville, KY 42718-1100 | 2008-08-17 |
| 1245840438 | Amanda Kelley | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-03 |
| 1386296937 | Amanda Elizabeth Kelley | Specialist/Technologist | 330 River Rd, Athens, GA 30602-1501 | 2019-07-14 |
| 1356839047 | Amanda Kelley | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-04-27 |
| 1215484183 | Amanda Kelley | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2016-09-07 |
| 1740657436 | Amanda Kelley | Case Manager/Care Coordinator | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2015-08-28 |
| 1124461017 | Amanda Christina Kelley | Hearing Instrument Specialist | 1401 Harrodsburg Rd, C-212, Lexington, KY 40504-3751 | 2013-04-10 |
| Street Address |
110 N DREW ST |
| City | STAR CITY |
| State | AR |
| Zip Code | 71667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447335708 | Paul F Whipple | Family Medicine | 110 N Drew St, Star City, AR 71667-5704 | 2006-10-26 |
| 1558831644 | Kendal Noble | Nurse Practitioner | 110 N Drew St, Star City, AR 71667-5704 | 2018-11-30 |
| 1386157592 | Amy Michelle White | Nurse Practitioner | 110 N Drew St, Star City, AR 71667-5704 | 2017-11-09 |
| 1225568363 | Skylar Michelle Garner | Dentist | 110 N Drew St, Star City, AR 71667-5704 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1982193975 | Monticello Medical Clinic, Plc | Family Medicine | 1306 N. Lincoln Avenue, Star City, AR 71667 | 2018-05-04 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1609379346 | Mainline Health Systems, Inc. | Clinic/Center | 310 Ashley St., Star City, AR 71667 | 2018-03-08 |
| 1124565213 | Mainline Health Systems, Inc | Clinic/Center | 310 Ashley St, Star City, AR 71667 | 2017-01-26 |
| 1801105424 | Tammy Renee White | Pharmacist | 1309 North Lincoln Ave, Star City, AR 71667 | 2010-09-30 |
| 1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
| 1568669844 | Jeri Lou Farabough | Speech-Language Pathologist | Bradley Street, Star City, AR 71667 | 2007-06-29 |
| 1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
| 1336184431 | University of Arkansas for Medical Sciences | Family Medicine | 203 S Jefferson St, Star City, AR 71667 | 2006-06-20 |
| Find all providers in zip 71667 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
| 1326066853 | Cynthia G Slaughter | Social Worker | 612 E Arkansas St, Star City, AR 71667-4842 | 2006-07-17 |
| 1689980039 | Tasha Lewis | Social Worker | 612 E Arkansas St, Star City, AR 71667-4842 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1609487826 | Gloria Jean Davis | Social Worker | 1804 N Porter St, Stuttgart, AR 72160-2640 | 2020-08-11 |
| 1457969735 | Britt Kristin Gjeruldsen | Social Worker | 9610 E Plentywood Rd, Bentonville, AR 72712-8828 | 2020-07-22 |
| 1083222756 | Prosper Counseling & Consulting Services, Pllc | Social Worker | 8 Shackleford Plz Ste 316, Little Rock, AR 72211-1852 | 2020-07-20 |
| 1598381253 | Jillian Carlan Counseling Pllc | Social Worker | 10515 W Markham St # 3, Little Rock, AR 72205-2297 | 2020-06-18 |
| 1972126829 | Jessica Chandler-zabih | Social Worker | 8401 Ranch Blvd, Little Rock, AR 72223-4402 | 2020-05-27 |
| 1184243362 | Counseling & Family Therapy Center, LLC | Social Worker | 213 W Rush Ave, Harrison, AR 72601-4220 | 2020-04-08 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1225662190 | Felix E Pekar | Social Worker | 1010 Rock St, Little Rock, AR 72202-5111 | 2020-02-28 |
| 1063045458 | Judy Michelle Jacobs | Social Worker | 103 Bullard, Manila, AR 72442-8216 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.