AMY LICKENBROCK WHITE MHS, CCC-SLP
NPI 1730604109
Speech-Language Pathologist in Lowell, AR

Q: What is Amy White's NPI number?

The NPI number for Amy White is 1730604109. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Q: What is Amy White's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy White was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 07, 2017

1412 PARK ST, LOWELL, AR 72745(479) 379-2827 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Aug 7, 2017 (2 updates tracked since 2017).

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About Amy Lickenbrock White Mhs, Ccc-slp NPPES

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

AMY LICKENBROCK WHITE MHS, CCC-SLP (NPI 1730604109) is an individual speech-language pathologist provider in Lowell, Arkansas, licensed in Arkansas (2017026191) and active in the NPI registry since August 2017. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1730604109

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAMY LICKENBROCK WHITECredential: MHS, CCC-SLP

Location Address1412 PARK STLowell, AR 72745-6028

Mailing Address1412 Park StLowell, AR 72745-6028 · (479) 379-2827

Phone(479) 379-2827

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 7, 2017

Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1730604109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in AR · 2017026191

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1412 PARK ST, Lowell, AR 72745

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Lickenbrock White Mhs, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416428446

PECOS Enrollment IDI20260610000789

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 White's NPI number?

The NPI number for Amy White is 1730604109. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Amy White located?

Amy White practices at 1412 Park St, Lowell, AR 72745. The listed phone number is (479) 379-2827.

What is Amy White's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Amy White enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy White was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.