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NPI Code Detail

MEDICARE: KENYA PICKENS LCSW

MEDICARE: KENYA PICKENS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker9796-CAR

General Provider Information

NPI Number : 1720783384
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENYA PICKENS LCSW
Provider Business Mailing Address
First Line : 1000 MAIN ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-3820
Country : US
Telephone Number : 501-244-1764
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAIN ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-3820
Country : US
Telephone Number : 501-244-1780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 02/12/2026

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Directions to “ KENYA PICKENS LCSW” Practice Location

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