TEQULIA MONIKIA PICKROM (LMSW) – Social Worker, NPI 1508010943

TEQULIA MONIKIA PICKROM (LMSW) is a healthcare provider. based in Conway, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 8720-M (AR). The NPI Number for TEQULIA MONIKIA PICKROM (LMSW) is 1508010943

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TEQULIA MONIKIA PICKROM (LMSW)
NPI
1508010943
Phone
(501) 336-0511
Address
2215 E OAK ST STE 1
Enumeration Date
12 November 2008
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013586695
Graduation Year
2018 (8 years ago)
PAC ID
2668864372
Group Practice PAC ID
3173428414
Professional Enrollment ID
I20220110000073
Address ID
AR720348498CO495XXLNXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

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Provider Addresses for TEQULIA MONIKIA PICKROM (LMSW)

  • East Oak Street, Conway, Faulkner County, Arkansas, 72032, United States

    CONWAY, AR 720324644

    Phone: (501) 336-0511

    Fax: (501) 336-4037

    Type: Location

  • PO BOX 9662

    CONWAY, AR 720339662

    Phone: (501) 852-1363

    Fax: (501) 852-1364

    Type: Mailing

  • 437 DENISON ST

    CONWAY, AR 720346127

    Phone: (501) 852-1363

    Type: Location

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: 2022-01-10

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220110000073IClinical Social WorkerARTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes5720$0
90834Psychotherapy, 45 minutes5025$0
90837Psychotherapy, 1 hour3013$0
View full utilization report →

Insurance plans in this area (ZIP 72032)

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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: 3173428414View full group profile
NameSpecialtyState
Nurse PractitionerAR
General SurgeryAR
-AR
Nurse PractitionerAR
Orthopedic SurgeryAR
Hand Surgery, Orthopedic SurgeryAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

What is the registry number for TEQULIA MONIKIA PICKROM (LMSW)?
The registry entry for TEQULIA MONIKIA PICKROM (LMSW) shows NPI 1508010943.
Should I treat TEQULIA MONIKIA PICKROM (LMSW) as an active provider?
Patients and plans typically see TEQULIA MONIKIA PICKROM (LMSW) as active in the national extract.
What services align with TEQULIA MONIKIA PICKROM (LMSW)'s listing?
TEQULIA MONIKIA PICKROM (LMSW)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit TEQULIA MONIKIA PICKROM (LMSW) in Conway, Arkansas?
For routing, start with Conway, Arkansas for TEQULIA MONIKIA PICKROM (LMSW), then verify phone and hours locally.
Why is information missing for TEQULIA MONIKIA PICKROM (LMSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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