Doctor profile · Federal record
Dr. Jacqueline Lickliter, D.O.
Pediatrics Physician (CMS: Pediatric Medicine) · Pediatrics Physician · Beckley, WV
- NPI 1053671669
- 18 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
230 George St Ste 2
Beckley, WV 258012620
(304) 255-2878 - Additional location
-
6505 Market St Ste 2100
Boardman, OH 445123457
(330) 746-8040
fax (330) 746-8025
Credentials & registration
- NPI registered
- May 2012 — 14 yrs on file
- Profile last updated
- March 30, 2026
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- West Virginia #2950 · Ohio #34.012256
- Medicaid
- WV #1053671669
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053671669. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$31
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $17.51 | |
| Merck Sharp & Dohme LLC | 1 | $13.83 |
By nature of payment
Frequently asked questions
What is Dr. Jacqueline Lickliter's medical specialty?
Dr. Jacqueline Lickliter practices Pediatrics Physician in Beckley, WV.
Where does Dr. Jacqueline Lickliter practice?
Dr. Jacqueline Lickliter practices at 230 George St Ste 2, Beckley, WV 258012620. Office phone: 3042552878.
What is Dr. Jacqueline Lickliter's NPI?
Dr. Jacqueline Lickliter's National Provider Identifier (NPI) is 1053671669, issued by NPPES.
Does Dr. Jacqueline Lickliter accept Medicare assignment?
Dr. Jacqueline Lickliter does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.