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AMY WICKLIFFE LCSW
NPI 1417272923
Social Worker - Clinical in Conway, AR

Active since March 29, 2010PECOS Enrolled
685 SHELBY TRL STE 105, CONWAY, AR 72034(501) 410-0092 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amy Wickliffe Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY WICKLIFFE LCSW (NPI 1417272923) is an individual clinical provider in Conway, Arkansas, licensed in Arkansas (6170-C) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417272923
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY WICKLIFFECredential: LCSW
Location Address685 SHELBY TRL STE 105Conway, AR 72034-7169
Mailing AddressPo Box 414Greenbrier, AR 72058-0414 · (501) 679-0232
Phone(501) 410-0092
Sole ProprietorNo
Enumeration DateMarch 29, 2010
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1417272923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 6170-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 2394-M (AR)
685 SHELBY TRL STE 105, Conway, AR 72034
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Secondary Practice Locations 2

Location 1575A Harkrider StConway, AR 72032-5631 · Phone (501) 679-0232 · Fax (833) 373-0348
Location 28 S Broadview St Ste E&fGreenbrier, AR 72058-9601 · Phone (501) 679-0232 · Fax (833) 373-0348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Wickliffe Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Wickliffe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
759 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Arkansas enrollment
  • 28 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GINAH BRIANNE PETTYJOHN LPC
Counselor (Professional)
685 SHELBY TRL STE 105
CONWAY, AR 72034
Faulkner County (501) 406-0504
TARA LE DAVIS
Counselor (Professional)
685 SHELBY TRL STE 105
CONWAY, AR 72034
Faulkner County (501) 406-2232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Wickliffe's NPI number?

The NPI number for Amy Wickliffe is 1417272923. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Amy Wickliffe located?

Amy Wickliffe practices at 685 Shelby Trl Ste 105, Conway, AR 72034. The listed phone number is (501) 410-0092.

What is Amy Wickliffe's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amy Wickliffe enrolled in Medicare?

Yes. Amy Wickliffe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Wickliffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wickliffe reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wickliffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Wickliffe accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Amy Wickliffe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Wickliffe was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.