Active NPI
Evalee Paige Smith, LCSW
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1003118522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004128
- Practice address
- 110 W 76TH St
Savannah, GA 31405-6808 - Phone
- (912) 655-5002
- NPI assigned
- Dec 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004128 | GA | Primary |
Addresses
Primary practice location
110 W 76TH St
Savannah, GA 31405-6808
Mailing address
110 W 76TH St
Savannah, GA 31405-6808
Phone (912) 655-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004128 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Online Counseling and Group Therapy, LLC | Current | Accepting new patients | |
| Aspire Therapy Services LLC | Past | Accepting new patients |
Locations
61 Riverwalk Blvd
Ste H
Ridgeland, SC 29936
Phone (843) 636-5017
Networks
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Ridgeland, SC
- NPI 1457985939
-
- Professional Counselor
- Ridgeland, SC
- NPI 1154928448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1003118522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 76TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056808",
"telephone_number": "912-655-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 76TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056808",
"telephone_number": "912-655-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EVALEE",
"middle_name": "PAIGE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.