Individual provider Active NPI

Lyncoya Davis, LCSW

  • Social Worker
  • Wynne, AR
National Provider Identifier
1316711591
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11156-M Issued in AR
Practice address
204 Mississippi St S
Wynne, AR 72396-3025
Phone
(870) 208-8499
Fax
(870) 208-8044
NPI assigned
Nov 8, 2023
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11156-M AR Primary

Addresses

Primary practice location

204 Mississippi St S
Wynne, AR 72396-3025

Mailing address

204 Mississippi St S
Wynne, AR 72396-3025
Phone (870) 208-8499

Other practice location 1

1117 McLain St Ste 300
Newport, AR 72112-3551
Phone (870) 495-1260

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250721004270 AR Practitioner - Clinical Social Worker 9335655976 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11156-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Behavioral Health, LLC CurrentSince Nov 12, 2023 Accepting new patients
Unity Health - Newport Current Accepting new patients
Unity Health - Newport CurrentSince Jul 1, 2025 Accepting new patients
Unity Health - Newport CurrentSince Jul 1, 2025 Accepting new patients

Locations

1117 McLain St
Ste 300
Newport, AR 72112
Phone (870) 495-1260

1117 McLain St
Ste 500
Newport, AR 72112
Phone (870) 523-6464

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1316711591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MISSISSIPPI ST S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963025",
            "telephone_number": "870-208-8499",
            "fax_number": "870-208-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MISSISSIPPI ST S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963025",
            "telephone_number": "870-208-8499",
            "fax_number": "870-208-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 McLain St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123551",
            "country_code": "US",
            "telephone_number": "870-495-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LYNCOYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "11156-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.