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

Kelly Kathleen Beaton

Individual provider Social Worker · NPI 1609541606

Kelly Kathleen Beaton is a Clinical Social Worker in Fayetteville, Arkansas. Qualified in 2021, 5 years ago. Licensed in Arkansas.

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

60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11311-C (AR)
Social Worker Taxonomy 104100000X · Licence 11311-M (AR)

Record details

NPI number1609541606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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

Other providers in Fayetteville