Individual provider Active NPI

William Reid Smithdeal, LCSW

  • Clinical Social Worker
  • Sylva, NC
National Provider Identifier
1003089616
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006975 Issued in NC
Practice address
104 King St
Sylva, NC 28779-5464
Phone
(828) 631-3973
Fax
(828) 631-9280
NPI assigned
Apr 4, 2008
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006975 NC Primary

Addresses

Primary practice location

104 King St
Sylva, NC 28779-5464

Mailing address

PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403001056 TX Practitioner - Clinical Social Worker 3870863988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006975NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority Current Accepting new patients
Cherokee Indian Hospital Authority Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1003089616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2187",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792187",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KING ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795464",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHDEAL",
        "first_name": "WILLIAM",
        "middle_name": "REID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.