Individual provider Active NPI

Amy Nicole Dickson, LCSW

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1487895900
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7350-C Issued in AR
Practice address
1500 Crestview Dr
Paragould, AR 72450-4838
Phone
(870) 926-5710
NPI assigned
Mar 12, 2009
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7350-C AR Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1500 Crestview Dr
Paragould, AR 72450-4838

Mailing address

1500 Crestview Dr
Paragould, AR 72450-4838
Phone (870) 926-5710

Other names 1

  • Amy Nicole Freligh Former name

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
I20191031000104 AR Practitioner - Clinical Social Worker 8022340678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing of Nea PLLCGroup PAC ID 7012302300, 8 clinicians

Practice addresses (Care Compare)

2701 S Caraway Rd
Suite B1
Jonesboro, AR 72401-7336
Phone (870) 926-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7350-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas CurrentSince Oct 5, 2020 Accepting new patients
Families, Inc of Arkansas CurrentSince Oct 5, 2020 Accepting new patients
Hope & Healing of Nea PLLC Clinical CurrentSince Mar 1, 2022 Accepting new patients
Vital Balance Health and Wellness PLLC Past Accepting new patients
Families, Inc. of Arkansas PastSince Oct 1, 2020 Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

2701 S Caraway Rd
Ste B1
Jonesboro, AR 72401
Phone (870) 790-1766

1101 W Morgan St
Ste 8
Paragould, AR 72450
Phone (870) 335-9483

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

Organizations & group practices 5

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1487895900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CRESTVIEW DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504838",
            "telephone_number": "870-926-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CRESTVIEW DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504838",
            "telephone_number": "870-926-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7350-C",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FRELIGH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.