Healthcare Provider Details

I. General information

NPI: 1770624132
Provider Name (Legal Business Name): AMY O'NEAL THOMAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 HOSPITAL DR
POCAHONTAS AR
72455-3847
US

IV. Provider business mailing address

1403 HOSPITAL DR
POCAHONTAS AR
72455-3847
US

V. Phone/Fax

Practice location:
  • Phone: 870-892-4547
  • Fax: 870-892-0707
Mailing address:
  • Phone: 870-892-4547
  • Fax: 870-892-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2149-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: