VICKI L HENLEY (LCSW) – Clinical Social Worker, NPI 1093743429

Clinical Social Worker

VICKI L HENLEY (LCSW) is a healthcare provider. based in Harrison, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2023C (AR). The NPI Number for VICKI L HENLEY (LCSW) is 1093743429

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

VICKI L HENLEY (LCSW)

NPI

1093743429

Phone

(870) 741-2658

Address

702 N MAIN ST

Enumeration Date

28 June 2006

Last Update Date

4 December 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8702045697

Graduation Year

2003 (23 years ago)

PAC ID

6608871215

Group Practice PAC ID

8224396239

Professional Enrollment ID

I20061003000245

Address ID

AR726012904HA815XXSTXX400

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

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Provider Addresses for VICKI L HENLEY (LCSW)

702, Main Street, Marshall, Harrison County, Texas, 75670, United States
SUITE C
HARRISON, AR 726012900
Phone: (870) 741-2658
Fax: (870) 741-2722
Type: Location
2453, North Crossover Road, The Cliffs, Fayetteville, Washington County, Arkansas, 72701, United States
FAYETTEVILLE, AR 727034326
Phone: (479) 521-5731
Fax: (479) 521-4926
Type: Mailing
815 N SPRING ST
HARRISON, AR 726012904
Phone: (870) 204-5697
Fax: (870) 204-5480
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20061003000245	I	Clinical Social Worker	AR	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90837	Psychotherapy, 1 hour	183	27	$0
90791	Psychiatric diagnostic evaluation	12	11	$0

View full utilization report →

Insurance plans in this area (ZIP 72601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8224396239View full group profile