Kelly Wilson, LCSW
NPI 1902345416 · Clinical Social Worker · Fayetteville, AR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Wilson, LCSW is a Clinical Social Worker provider in Fayetteville, AR (NPI 1902345416).
Provider details
- NPI number
- 1902345416
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 8293-M (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
9 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
- 2017-02-16
- Last updated
- 2020-06-08
- Certified
- 2020-06-08
Frequently asked questions
- What is Kelly Wilson's NPI number?
- Kelly Wilson's National Provider Identifier (NPI) is 1902345416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wilson's specialty?
- Kelly Wilson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Wilson located?
- Kelly Wilson's practice location on file with NPPES is 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679.
- What is Kelly Wilson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wilson is (479) 935-4834.
- Does Kelly Wilson accept Medicare?
- Kelly Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Wilson's NPI active?
- Yes — Kelly Wilson's NPI (1902345416) is active in the NPPES registry as of the last update on 2020-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.