Demetric U Wyatt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6294-C Issued in AR

Practice address

5700 Phoenix PL
Fort Smith, AR 72903-5782

Phone

(479) 441-2600

Fax

(479) 441-2693

NPI assigned

Jul 14, 2006

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

State licenses

Practice roles

Locations

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.

• Veterans Health Care System of the Ozarks

  • Primary Care Nurse Practitioner
  • Fort Smith, AR
  • NPI 1912785973
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1740206531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034593",
            "telephone_number": "479-521-5731",
            "fax_number": "479-521-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 PHOENIX PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035782",
            "telephone_number": "479-441-2600",
            "fax_number": "479-441-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "DEMETRIC",
        "middle_name": "U",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6294-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kent Wright, MD
• E Allen Wright, MHPP
• Gloria Wright, MHPP
• John D Wright, DPM
• Paula Wyant
• Ashley Xaysanasy
• Lucy Xiong
• Sarah A Yancey, LPTN/LPN
• Jim R. Yandell, D.D.S.
• Morgan Yandell, OD

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.