REBECCA ANN LILES – Social Worker, NPI 1578066452

REBECCA ANN LILES is a healthcare provider. based in Texarkana, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 8653-C (AR). The NPI Number for REBECCA ANN LILES is 1578066452

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ANN LILES
NPI
1578066452
Phone
(870) 330-9200
Address
4077 JEFFERSON AVE
Enumeration Date
16 March 2018
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037911110
Graduation Year
2017 (9 years ago)
PAC ID
5890125926
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20200512001506
Address ID
TX755033536TE1400XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

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Provider Addresses for REBECCA ANN LILES

  • 4077, Jefferson Avenue, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 718541509

    Phone: (870) 330-9200

    Fax: (870) 330-9439

    Type: Location

  • 4077 Jefferson Ave

    Texarkana, AR 718541509

    Phone: (870) 330-9200

    Fax: (870) 330-9439

    Type: Location

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 1400 COLLEGE DR

    TEXARKANA, TX 755033536

    Phone: (903) 791-1110

    Fax: (903) 791-9352

    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: 2020-04-14

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
I20200414000058IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71854)

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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: 8820038565View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YLA
Family PracticeTX
Nurse PractitionerAR
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Mental Health CounselorAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for REBECCA ANN LILES?
REBECCA ANN LILES — NPI 1578066452 — is the standard way to identify this listing.
Is REBECCA ANN LILES listed as active for patients and plans?
The listing shows REBECCA ANN LILES as active in the NPI system.
What is REBECCA ANN LILES's primary classification?
Social Worker is the headline specialty for REBECCA ANN LILES here. Clinical services aligned with this taxonomy classification.
Where is REBECCA ANN LILES based?
REBECCA ANN LILES is tied to Texarkana, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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