Kenjarvis Cross, LCSW
NPI 1184078875 · Clinical Social Worker · Blytheville, AR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenjarvis Cross, LCSW is a Clinical Social Worker provider in Blytheville, AR (NPI 1184078875).
Provider details
- NPI number
- 1184078875
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 8109-C (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Kenjarvis Cross's NPI number?
- Kenjarvis Cross's National Provider Identifier (NPI) is 1184078875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenjarvis Cross's specialty?
- Kenjarvis Cross is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenjarvis Cross located?
- Kenjarvis Cross's practice location on file with NPPES is 209 S Lockard St, Blytheville, AR 72315-2541.
- What is Kenjarvis Cross's phone number?
- The practice phone number listed in the NPPES registry for Kenjarvis Cross is (870) 763-2139.
- Does Kenjarvis Cross accept Medicare?
- Kenjarvis Cross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenjarvis Cross's NPI active?
- Yes — Kenjarvis Cross's NPI (1184078875) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.