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

Keeaundra Richardson

Individual provider Case Manager/Care Coordinator · NPI 1104589639

Keeaundra Richardson is a Clinical Social Worker in Nashville, Arkansas. Qualified in 2021, 5 years ago. Registered with an NPI since 2021.

Years since qualifying
5
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

508 N 2nd St
Nashville, AR 71852-3925
Phone: (870) 455-0134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1104589639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address508 N 2nd St, Nashville, AR 71852-3925

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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