Dedra McKenzie Price, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7949-C Issued in AR

Practice address

2908 Hawkins Dr
Searcy, AR 72143-4802

Phone

(501) 203-0055

Fax

(501) 203-0060

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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 and National Provider Directory roles.

• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• White County Medical Center

  dba Unity Health WCMC Hospitalist

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment NPD
• Price Therapy Services LLC

  • Clinical Social Worker
  • Searcy, AR
  • NPI 1669047247
  NPD Authorized official
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ash Flat, AR
  • NPI 1174613939
  NPD
• White County Medical Center

  dba Unity Health Bradford Medical Clinic

  • Primary Care Clinic/Center
  • Bradford, AR
  • NPI 1386015097
  NPD
• White County Medical Center

  dba Unity Health Newport OB/GYN

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1275984163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-203-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-203-0055",
            "fax_number": "501-203-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 E. Race St.",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434661",
            "country_code": "US",
            "telephone_number": "501-305-2359",
            "fax_number": "501-305-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DEDRA",
        "middle_name": "MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7949-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7949-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Powell, QBHP
• Brenda Joyce Powers
• Monica Powers, MHPP
• Preferred Family Healthcare Inc (Wilbur D Mills)
• Price Therapy Services LLC
• Kelsey Renee Prothro, LAC.
• Providence PCC of Searcy LLC
• Dana Province, D.D.S.
• Jennifer Pruitt, RN, BSN
• Gayla Pruittt

• Clinical Social Worker in Searcy, AR
• Providers in Searcy, 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 Aug 7, 2019; 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.