Active NPI
Kylie Meghan Devries, LMSW
- Social Worker
- Manila, AR
National Provider Identifier
1922715838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12627-M
- Practice address
- 920 Medical Dr
Manila, AR 72442-8416 - Phone
- (870) 570-0358
- Fax
- (870) 570-0359
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12627-M | AR | Primary |
Addresses
Primary practice location
920 Medical Dr
Manila, AR 72442-8416
Mailing address
920 Medical Dr
Manila, AR 72442-8416
Phone (870) 570-0358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12627-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manila, AR
- NPI 1720637085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1922715838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MEDICAL DR",
"city": "MANILA",
"state": "AR",
"postal_code": "724428416",
"telephone_number": "870-570-0358",
"fax_number": "870-570-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL DR",
"city": "MANILA",
"state": "AR",
"postal_code": "724428416",
"telephone_number": "870-570-0358",
"fax_number": "870-570-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "KYLIE",
"middle_name": "MEGHAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "12627-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manila, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.