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Amy Lickenbrock White , MHS, CCC-SLP

Speech-Language Pathologist β€’ Lowell, AR

Active NPI 1730604109 Individual Practitioner Female Practitioner
Practice location in NPPES

1412 Park St
Lowell, AR 727456028

Call 4793792827 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

1412 Park St

Lowell, AR 727456028

Telephone 4793792827
Organization at the Same NPPES Address or Phone
Amy White Adult Speech Therapy Services Pllc Facility NPI 1336079771

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 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

2017

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Amy White 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

Compared with the same specialty in Lowell and Arkansas

16 active clinicians are listed under Speech-Language Pathologist with a practice address in Lowell, AR (3,677 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lowell

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AR 2017026191

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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 - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20260610000789

Enrollment State Jurisdiction

AR

PECOS Control ID

7416428446

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

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location January 16, 2026

Registered at 1412 PARK ST, LOWELL, AR 727456028 (Tel: 4793792827)

πŸ“
Updated Business Mailing Address January 16, 2026

Registered at 1412 PARK ST, LOWELL, AR 727456028 (Tel: 4793792827)

πŸ‘€
Provider Name / Credentials Updated January 16, 2026

Recorded as AMY WHITE, MHS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2026

Speech-Language Pathologist (license number reported to NPPES: AR 2017026191)

βœ…
NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2017

Registered at 1251 TURTLE CREEK DR, O FALLON, MO 633665948 (Tel: 6363790300)

πŸ“
Business Mailing Address (Initial Record) August 07, 2017

Registered at 2921 S 18TH ST, SAINT LOUIS, MO 631181710 (Tel: 3147077506)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2017

Recorded as AMY LICKENBROCK, MHS, CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Speech-Language Pathologist (license number reported to NPPES: MO 2017026191)

🟒
Initial NPI Registration & Enumeration August 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730604109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2017
Last Update: January 16, 2026
Sole Proprietor: Yes

Mailing Address

1412 Park St

Lowell, AR 727456028

Phone: 4793792827

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.