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

Kenjarvis Cross, LCSW

Individual provider Clinical Social Worker · NPI 1184078875

Kenjarvis Cross, LCSW is a Clinical Social Worker in Blytheville, Arkansas. Qualified in 2016, 10 years ago. Practices with Arisa Health Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2016
Specialties on file
2
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

209 S Lockard St
Blytheville, AR 72315-2541
Phone: (870) 763-2139
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 8109-C (AR)

Record details

NPI number1184078875
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 19, 2016
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Arisa Health Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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