BARBARA KELLY (LCSW) – Clinical Social Worker, NPI 1619218963

BARBARA KELLY (LCSW) is a healthcare provider. based in Fayetteville, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for BARBARA KELLY (LCSW) is 1619218963

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA KELLY (LCSW)
NPI
1619218963
Phone
(479) 521-1427
Address
4171 N CROSSOVER RD
Enumeration Date
12 March 2013
Last Update Date
14 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702045697
Graduation Year
2005 (21 years ago)
PAC ID
8729222948
Group Practice PAC ID
8224396239
Professional Enrollment ID
I20130910000117
Address ID
AR726012904HA815XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for BARBARA KELLY (LCSW)

  • 4171 N CROSSOVER RD

    FAYETTEVILLE, AR 727034591

    Phone: (479) 521-1427

    Fax: (479) 521-6520

    Type: Mailing

  • 117 SAWGRASS PT

    HARRISON, AR 726013072

    Phone: (870) 741-2658

    Fax: (870) 741-2722

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130910000117IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7115$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224396239View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Mental Health CounselorAR
-AR

Reviews

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Frequently asked questions

Is BARBARA KELLY (LCSW) listed with a National Provider Identifier?
Yes — BARBARA KELLY (LCSW) has NPI 1619218963 on file in the registry.
Is BARBARA KELLY (LCSW) shown as active in public data?
Registry records indicate BARBARA KELLY (LCSW) maintains an active NPI.
What kind of doctor is BARBARA KELLY (LCSW)?
BARBARA KELLY (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is BARBARA KELLY (LCSW) located near Fayetteville?
BARBARA KELLY (LCSW) currently maps to Fayetteville, Arkansas in this extract.
Can I trust this NPI listing for BARBARA KELLY (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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