Kelly Kendra Wilson, LCSW
Clinical Social Worker · Fayetteville, AR
Kelly Kendra Wilson, LCSW is a clinical social worker with a practice address in Fayetteville, Arkansas, and NPI 1902345416, issued on Feb 16, 2017. Check the license (Arkansas 8293-C, as entered in NPPES) with the Arkansas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Kendra Wilson
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- 8293-C AR
8293-M AR
Self-reported in NPPES; status is on the state search - Practice location
- 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704
- Phone
- (479) 935-4834
- Enumerated
- Feb 16, 2017
- Record last updated
- Jun 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200619000856); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 2,103 in Arkansas → Look up another NPI →
Also registered at 3162 W Martin Luther King Blvd Ste 13-14
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tracie Fullove, M.D.Family Medicine Physician1962865659
Verify Kelly Kendra Wilson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license 8293-CCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Kendra Wilson among 2,103 clinical social worker records in Arkansas
Kelly Kendra Wilson, LCSW is one of 2,103 clinical social worker records with a practice address in Arkansas. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2017, is newer than 72% of them.
- NPI issued2017 · 72% of these records are older, 25% newer
- In a Medicare fileNo · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2016 · median 2012 among the 561 with a school on file
- Record last updated2020 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
207 clinical social worker records list a practice address in Fayetteville
They are 207 of the 3,890 NPPES records with a practice address in Fayetteville, and 2,103 clinical social worker records in Arkansas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,103 in Arkansas → Every provider in Fayetteville → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Sharon Guthrie, L.C.S.W.Fayetteville, AR 727041467588707
- Jordan Hughes, MSW, LCSWFayetteville, AR 727041033844584
- Steven Jennings, LCSWFayetteville, AR 727041659072254
- Jackie Morris-Ballard, LCSWFayetteville, AR 727041932543261
- Julian Schroer, LCSWFayetteville, AR 727041376901330
- Carla Wallace, LCSWFayetteville, AR 727041043892052
- Cira AbiseidFayetteville, AR 727031376326066
- Amanda Dunn, LCSWFayetteville, AR 727031609652734
Common questions
What is Kelly Kendra Wilson, LCSW's NPI number?
Kelly Kendra Wilson, LCSW's National Provider Identifier (NPI) is 1902345416, issued on Feb 16, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Kendra Wilson, LCSW located?
The NPPES record lists a practice address at 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR, 72704. Phone: (479) 935-4834. Providers update this record themselves, so call before visiting.
How can I verify Kelly Kendra Wilson, LCSW's license?
NPPES lists Arkansas license number 8293-C, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.