Provider Demographics
NPI:1801234661
Name:IRBY, MEREDITH KINSEY (LCSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:KINSEY
Last Name:IRBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:ELIZABETH
Other - Last Name:KINSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:323 CENTER ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-2605
Mailing Address - Country:US
Mailing Address - Phone:501-412-5327
Mailing Address - Fax:
Practice Address - Street 1:323 CENTER ST STE 1401
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2605
Practice Address - Country:US
Practice Address - Phone:501-412-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4631-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical