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Tequlia Monikia Pickrom , LMSW

Social Worker โ€ข Conway, AR

Active NPI 1508010943 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

437 Denison St
Conway, AR 720346127

Call 5018521363 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

437 Denison St

Conway, AR 720346127

Telephone 5018521363
Organization at the Same NPPES Address or Phone
Conway Regional Medical Center Inc Facility NPI 1841200417

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Conway Regional Medical Center Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

42 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $11,181 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $8,286 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tequlia Pickrom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tequlia Pickrom as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Conway and Arkansas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Social Worker in Arkansas (2024, 12 clinicians with data). Median for this group: 128. Middle half: 54 to 183.

Too few clinicians listed under Social Worker in Conway have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Social Worker in Arkansas (2024, 12 clinicians with data). Median for this group: $9,327. Middle half: $4,782 to $14,101.

Too few clinicians listed under Social Worker in Conway have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Social Worker in Arkansas (2024, 12 clinicians with data). Median for this group: $7,172. Middle half: $3,594 to $10,570.

Too few clinicians listed under Social Worker in Conway have Medicare Part B data for 2024 to compare.

32 active clinicians are listed under Social Worker with a practice address in Conway, AR (1,350 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conway

0% of these 32 clinicians have the CMS telehealth indicator.

12.5% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
92 26 $152.00 $55.12
90834 Psychotherapy, 45 minutes
56 21 $204.00 $72.90
90837 Psychotherapy, 1 hour
19 11 $304.00 $106.71

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES AR 8720-M

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20220110000073

Enrollment State Jurisdiction

AR

PECOS Control ID

2668864372

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Conway Regional Medical Center Inc

437 Denison St, Conway, AR 720346127

Phone: 5013271325

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Keith Cooper , MD

Family Medicine

NPI 1295732816

Doctor of Medicine (M.D.)

Dr. James Fulmer , MD

Family Medicine

NPI 1093030918

Doctor of Medicine (M.D.)

Dr. William Furlow , MD

Internal Medicine

NPI 1366480055

Doctor of Medicine (M.D.)

Dr. Stephen Long , MD

General Practice

NPI 1821012089

Doctor of Medicine (M.D.)

Timothy Spurlin , MNSC, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386334902

MNSC, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Jamie Trapp , MD

Family Medicine

NPI 1477949238

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location February 06, 2025

Registered at 437 DENISON ST, CONWAY, AR 720346127 (Tel: 5018521363)

๐Ÿ“
Updated Business Mailing Address February 06, 2025

Registered at PO BOX 9662, CONWAY, AR 720339662 (Tel: 5018521363)

๐Ÿ“
Updated Practice Location January 09, 2019

Registered at 2215 E OAK ST STE 1, CONWAY, AR 720324644 (Tel: 5013360511)

๐Ÿ“
Updated Business Mailing Address January 09, 2019

Registered at 2215 E OAK ST STE 1, CONWAY, AR 720324644 (Tel: 5013360511)

๐Ÿ‘ค
Provider Name / Credentials Updated January 09, 2019

Recorded as TEQULIA PICKROM, LMSW

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Social Worker (license number reported to NPPES: AR 8720-M)

๐Ÿ“
Updated Practice Location December 04, 2018

Registered at 1719 MERRILL DR, LITTLE ROCK, AR 722124009 (Tel: 5016632199)

๐Ÿ“
Updated Business Mailing Address December 04, 2018

Registered at 1719 MERRILL DR, LITTLE ROCK, AR 722124009 (Tel: 5016632199)

๐Ÿ‘ค
Provider Name / Credentials Updated December 04, 2018

Recorded as TEQULIA PICKROM, MHP

โœ…
NPI Profile Active November 12, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 12, 2008

Registered at 1300 HIGHWAY 9, MORRILTON, AR 721109403 (Tel: 5012085911)

๐Ÿ“
Business Mailing Address (Initial Record) November 12, 2008

Registered at 5537 BLEAUX AVE, SPRINGDALE, AR 727620737 (Tel: 4798725580)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 12, 2008

Recorded as TEQUILA PICKROM, AT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2008

Counselor

๐ŸŸข
Initial NPI Registration & Enumeration November 12, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508010943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2008
Last Update: February 06, 2025
Sole Proprietor: No

Mailing Address

Po Box 9662

Conway, AR 720339662

Phone: 5018521363

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.