Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508010943 Individual Practitioner Female Practitioner

Tequlia Monikia Pickrom , LMSW

Social Worker • Conway, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tequlia Pickrom, LMSW is a certified Social Worker practicing in Conway, AR. With approximately 8 years of clinical experience since completing medical education in 2018, Tequlia Pickrom delivers high-quality medical care to the local community at 437 DENISON ST.

Tequlia Pickrom is affiliated with Conway Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

437 Denison St

Conway, AR 720346127

Telephone 5018521363
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Conway, AR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -7.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Conway, AR (1379 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickrom (8 Years) 8 Yrs
Conway Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
92 26 $152.00 $55.12
90834 Psychotherapy, 45 minutes
56 21 $204.00 $72.90
90837 Psychotherapy, 60 minutes
19 11 $304.00 $106.71

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License AR 8720-M

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Hospital & Practice Group Affiliations

Conway Regional Medical Center Inc

437 Denison St, Conway, AR 720346127

Phone: 5013271325

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. James Fulmer , MD

Family Medicine

NPI 1093030918

Doctor of Medicine (M.D.)

Dr. Keith Cooper , MD

Family Medicine

NPI 1295732816

Doctor of Medicine (M.D.)

Dr. William Furlow , MD

Internal Medicine

NPI 1366480055

Doctor of Medicine (M.D.)

Timothy Spurlin , MNSC, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386334902

MNSC, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Nikolaj Brown , MD

Student in an Organized Health Care Education/Training Program

NPI 1427842871

Doctor of Medicine (M.D.)

Dr. Jamie Trapp , MD

Family Medicine

NPI 1477949238

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location February 06, 2025

Registered at 437 DENISON ST, CONWAY, AR 720346127 (Tel: 5018521363)

📍
Updated Business Mailing Address February 06, 2025

Registered at PO BOX 9662, CONWAY, AR 720339662 (Tel: 5018521363)

📍
Updated Practice Location January 09, 2019

Registered at 2215 E OAK ST STE 1, CONWAY, AR 720324644 (Tel: 5013360511)

📍
Updated Business Mailing Address January 09, 2019

Registered at 2215 E OAK ST STE 1, CONWAY, AR 720324644 (Tel: 5013360511)

👤
Provider Name / Credentials Updated January 09, 2019

Recorded as TEQULIA PICKROM, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Social Worker (License #8720-M in AR)

📍
Updated Practice Location December 04, 2018

Registered at 1719 MERRILL DR, LITTLE ROCK, AR 722124009 (Tel: 5016632199)

📍
Updated Business Mailing Address December 04, 2018

Registered at 1719 MERRILL DR, LITTLE ROCK, AR 722124009 (Tel: 5016632199)

👤
Provider Name / Credentials Updated December 04, 2018

Recorded as TEQULIA PICKROM, MHP

NPI Profile Active November 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2008

Registered at 1300 HIGHWAY 9, MORRILTON, AR 721109403 (Tel: 5012085911)

📍
Updated Business Mailing Address November 12, 2008

Registered at 5537 BLEAUX AVE, SPRINGDALE, AR 727620737 (Tel: 4798725580)

👤
Provider Name / Credentials Updated November 12, 2008

Recorded as TEQUILA PICKROM, AT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2008

Counselor

🟢
Initial NPI Registration & Enumeration November 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tequlia Pickrom. Be the first to share your experience!

Sign in to leave a review for Tequlia Pickrom

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508010943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2008
Last Update: February 06, 2025
Sole Proprietor: No

Mailing Address

Po Box 9662

Conway, AR 720339662

Phone: 5018521363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.