Jeremy Oliver, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1792 Falls Blvd N Ste 5
Wynne, AR 72396-4093

Phone

(870) 208-9333

Fax

(870) 208-9229

NPI assigned

Dec 22, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Logan Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1932119187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1386009074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015612",
            "telephone_number": "318-325-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 FALLS BLVD N STE 5",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964093",
            "telephone_number": "870-208-9333",
            "fax_number": "870-208-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Royal Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015612",
            "country_code": "US",
            "telephone_number": "318-325-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JEREMY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Arkansas Community Mental Health Center Inc
• Northeast Arkansas Community Mental Health Center Inc
• Jeremiah Nugent, M.D.
• Lee O'Banion, ST ASSISTANT
• Stephanie Goodart O'Neal, RPH
• Hayley Owens
• Laura Owens
• Cadarious Parchman
• Janetta Cross Parchman, MHPP
• Chintan Patel, RPH

• All providers in Wynne, AR
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.