Healthcare Provider Details

I. General information

NPI: 1285043588
Provider Name (Legal Business Name): KELLY NICHOLE LENDERMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY LENDERMAN LMSW

II. Dates (important events)

Enumeration Date: 08/12/2014
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MORGAN STREET
PARAGOULD AR
72450-3949
US

IV. Provider business mailing address

1815 PLEASANT GROVE ROAD
JONESBORO AR
72405-7870
US

V. Phone/Fax

Practice location:
  • Phone: 870-335-9483
  • Fax: 870-335-9483
Mailing address:
  • Phone: 870-933-6886
  • Fax: 870-933-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8367-M
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8367-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: