Tequlia Monikia Pickrom, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8720-M Issued in AR

Practice address

437 Denison St
Conway, AR 72034-6127

Phone

(501) 852-1363

NPI assigned

Nov 12, 2008

Last updated

Feb 6, 2025By 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

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians

Practice addresses (Care Compare)

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.

• Conway Regional Medical Center Inc

  dba Conway Medical Group

  • Family Medicine Physician
  • Conway, AR
  • NPI 1841200417

  Social Worker

  Medicare reassignment Care Compare group NPD
• Conway Regional Medical Center Inc

  dba Conway Regional Mobile Health Unit

  • Family Medicine Physician
  • Conway, AR
  • NPI 1043183544
  NPD
• Conway Regional Medical Center, Inc

  dba Conway Regional Counseling Center

  • Psychiatry Physician
  • Conway, AR
  • NPI 1730402249
  NPD

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1508010943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 DENISON ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346127",
            "telephone_number": "501-852-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKROM",
        "first_name": "TEQULIA",
        "middle_name": "MONIKIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8720-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johann Philmon, RECOVERY ASSISTANT
• Phoenix Recovery Center, LLC
• Physical Therapy Specialists of Coway
• Gracie Pickens
• Donaven Pickren
• Margaret L Pierce, APRN
• Parris Pierce
• Miranda Blair Pieroni
• Charlene Pike, PHARMD
• Brian Pinal, RECOVERY ASSOCIATE

• Social Worker in Conway, AR
• Providers in Conway, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.