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

Kelly Anne Smith, LCSW

Individual provider Clinical Social Worker · NPI 1063757052

Kelly Anne Smith, LCSW is a Clinical Social Worker in Rogers, Arkansas. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
15
Licensed in
AR
In the registry since
2012
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

101 W Walnut St Ste C
Rogers, AR 72756-6662
Phone: (435) 420-4207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9759-C (AR)

Record details

NPI number1063757052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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