LONDA LYNNE REVIS (LCSW) – Social Worker, NPI 1912177486

LONDA LYNNE REVIS (LCSW) is a healthcare provider. based in Conway, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2212-C (AR). The NPI Number for LONDA LYNNE REVIS (LCSW) is 1912177486

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LONDA LYNNE REVIS (LCSW)
NPI
1912177486
Phone
(501) 358-6695
Address
PO BOX 9662
Enumeration Date
11 March 2008
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013271150
Graduation Year
1992 (34 years ago)
PAC ID
1254404411
Group Practice PAC ID
8224012505
Professional Enrollment ID
I20080721000693
Address ID
AR720348498CO495XXLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

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Provider Addresses for LONDA LYNNE REVIS (LCSW)

  • PO BOX 9662

    CONWAY, AR 720339662

    Phone: (501) 358-6695

    Fax: (501) 358-6860

    Type: Mailing

  • Hogan Lane, Conway, Faulkner County, Arkansas, 72034, United States

    CONWAY, AR 720348498

    Phone: (501) 358-6695

    Fax: (501) 358-6860

    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: 2008-07-21

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
I20080721000693IClinical 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
90834Psychotherapy, 45 minutes11524$0
90832Psychotherapy, 30 minutes6915$0
View full utilization report →

Insurance plans in this area (ZIP 72033)

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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: 8224012505View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Family Practice, Hospice/Palliative CareAR

Reviews

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Frequently asked questions

Can I verify LONDA LYNNE REVIS (LCSW) with an NPI only?
You can start verification with NPI 1912177486 for LONDA LYNNE REVIS (LCSW), then check state licensing separately.
Does CMS list LONDA LYNNE REVIS (LCSW) as active?
Yes — LONDA LYNNE REVIS (LCSW) is active in the NPI listing used on this page.
What is LONDA LYNNE REVIS (LCSW)'s specialty?
The listing groups LONDA LYNNE REVIS (LCSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Does LONDA LYNNE REVIS (LCSW) list a practice location?
Patients near Conway, Arkansas may find LONDA LYNNE REVIS (LCSW) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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