Mrs Lisa A Kennedy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Little Rock Afb, Arkansas. Her current practice location is
1090 Arnold Dr, Little Rock Afb, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 987-7377.
Mrs Lisa A Kennedy is licensed to practice in Arkansas (license number 2461-C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649571183.
Healthcare Provider's Profile
Full Name | Mrs Lisa A Kennedy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1090 Arnold Dr, Little Rock Afb, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649571183
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476859422
- Enrollment ID: I20160317000230
Medical Identifiers
Medical identifiers for Mrs Lisa A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649571183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2461-C (Arkansas) | Secondary |
106H00000X | Marriage & Family Therapist | 2461-C (Arkansas) | Secondary |
1041C0700X | Social Worker - Clinical | 2461-C (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa A Kennedy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa A Kennedy, LCSW 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7377 | Mrs Lisa A Kennedy, LCSW 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7377 |
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