KELLY MARIE ELEDGE (NPI# 1386809218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386809218 |
Entity Type | Individual |
Full Name | KELLY MARIE ELEDGE |
Credential | LCSW |
Practice Address |
3895 George Anderson Rd Springdale AR 72764-8251 |
Mailing Address |
2885 W Battlefield St Springfield MO 65807-3952 |
Practice Telephone | 4795211532 |
Practice Fax Number | 4795219940 |
Mailing Telephone | 4177615000 |
Mailing Fax Number | 4177615011 |
Enumeration Date | 2008-07-21 |
Last Update Date | 2020-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
2020028052 | MO | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
7268-C | AR | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2005 W Elm St, Rogers, AR 727584018 | 4796360083 | 4796360144 |
Street Address |
3895 GEORGE ANDERSON RD |
City | SPRINGDALE |
State | AR |
Zip Code | 72764-8251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
Find all providers in zip 72764 |
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 |
---|---|---|---|---|
1235513391 | Dasen Moore | Social Worker | 2810 Berrywood Ln, Springdale, MD 20774-7508 | 2015-07-17 |
1144579947 | Whole Life Services | Social Worker | 4008 Kisner Cir, Springdale, AR 72762-6618 | 2012-09-07 |
1225327158 | Maxine Akai | Social Worker | 3806 Asquith Ct, Springdale, MD 20774-5453 | 2011-03-31 |
1972751170 | Jonathan Watts | Social Worker | 6801 Isaacs Orchard Rd Ste 207, Springdale, AR 72762-6799 | 2008-09-03 |
1922286160 | Carla Brown | Social Worker | 2400 S. 48th St., Springdale, AR 72762 | 2008-02-08 |
1942496302 | Debra Jo Brooks | Social Worker | 801 Carlton, Springdale, AR 72762 | 2007-09-19 |
1356460844 | Shirley Ann Thompkins | Social Worker | 9400 Ardwick Ardmore Rd, Springdale, MD 20774-2522 | 2007-03-28 |
1396782942 | Carole Marie Schuster | Social Worker | 4960 Springhouse Dr, Springdale, AR 72762-7261 | 2006-06-01 |
1528572674 | Cris Antonia Arias | Social Worker | 614 E Emma Ave, Springdale, AR 72764-4634 | 2017-11-28 |
1700300290 | Kimberly Vaught | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2017-07-27 |
Find all providers in SPRINGDALE |
City | SPRINGDALE |
Zip Code | 72764 |
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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.