Wickliffe, Amy

Wickliffe, Amy is an individual health care provider with primary practice located at 685 Shelby Trl Ste 105 , Conway AR 72034-7169. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wickliffe, Amy can be contacted via phone (501) 410-0092.

Contact Information

Primary practice address
685 Shelby Trl Ste 105 Conway AR 72034-7169
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2394-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6170-C Arkansas

Profile Details

NPI number 1417272923
LBN Legal business name Wickliffe, Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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