DEEDRA WICKHAM CMP
NPI 1386877546
Case Manager/Care Coordinator in Clarksville, AR

Active since September 03, 2009
522 MILL RD, CLARKSVILLE, AR 72830(479) 705-1301 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Case Manager/Care Coordinator

About DEEDRA WICKHAM

This page provides the complete NPI Profile along with additional information for Deedra Wickham, a provider established in Clarksville, Arkansas with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1386877546 assigned on September 2009. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1386877546 Verify this NPI
Provider Name
DEEDRA WICKHAM CMP
Gender
Female
Entity Type
Individual
Location Address
522 MILL RD CLARKSVILLE, AR 72830
Location Phone
(479) 705-1301
Mailing Address
PO BOX 1589 BENTON, AR 72018
Mailing Phone
(501) 315-3344
Is Sole Proprietor?
No
Enumeration Date
09-03-2009
Last Update Date
09-03-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License State
AR
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
522 MILL RD
CLARKSVILLE, AR 72830
Counselor (Mental Health)
522 MILL RD
CLARKSVILLE, AR 72830
Social Worker (Clinical)
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Social Worker
522 MILL RD
CLARKSVILLE, AR 72830
Registered Nurse (Psychiatric/Mental Health, Adult)
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830
Case Manager/Care Coordinator
522 MILL RD
CLARKSVILLE, AR 72830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386877546, enumerated as an "individual" on September 03, 2009.

The provider is located at 522 MILL RD CLARKSVILLE, AR 72830 and the phone number is (479) 705-1301.

Case Manager/Care Coordinator with taxonomy code 171M00000X.