Connie A Dyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2430C Issued in AR

Practice address

400 E Highway 43
Harrison, AR 72601-6514

Phone

(870) 391-3871

Fax

(870) 391-3874

NPI assigned

Mar 9, 2010

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Connie A Kilgore Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  Medicare reassignment NPD
• Texarkana Behavioral Associates, L.C.

  dba Valley Behavioral Health System Outpatient Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barling, AR
  • NPI 1467483677
  Medicare reassignment NPD
• Texarkana Behavioral Associates LC

  • Psychiatry Physician
  • Fayetteville, AR
  • NPI 1114040888
  NPD
• Texarkana Behavioral Associates, L.C.

  dba Vantage Point of Northwest Arkansas

  • Psychiatric Hospital
  • Fayetteville, AR
  • NPI 1639137565
  NPD
• Transitions Counseling Clinic PLC

  • Professional Counselor
  • De Queen, AR
  • NPI 1902501281

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1083937858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 N FUTRALL DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-521-1427",
            "fax_number": "479-521-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HIGHWAY 43",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016514",
            "telephone_number": "870-391-3871",
            "fax_number": "870-391-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "CONNIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2430C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "KILGORE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Ray Duck
• Geoffrey Lawrence Dunaway, MD
• Chad Duncan, MHPP
• Dealla Duncan
• Robyn Dye, LPC
• Eagle Heights Clinic, P.a.
• Emily J Earnest, MA/CCC-A
• Joy Eddings, COTA/L
• Tina Renee Eddings
• Karin Edelstein, MSW

• Clinical Social Worker in Harrison, AR
• Providers in Harrison, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.