Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Kennington, LCSW

Individual provider Clinical Social Worker · NPI 1902219587

Jessica Kennington, LCSW is a Clinical Social Worker in Texarkana, Arkansas. Qualified in 2014, 12 years ago. Practices with Moonbrook Mind and Body Integrative Services Incorporated, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4613 Parkway Dr Ste 7
Texarkana, AR 71854-1191
Phone: (870) 330-4095
Fax: (844) 706-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 Pecan St, Texarkana, AR 71854-5333 — (870) 330-4095

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1902219587
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Moonbrook Mind And Body Integrative Services Incorporated — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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