Individual provider Active NPI

Dale James Smith, L.I.S.W.

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1003140286
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0900238 Issued in OH
Practice address
1301 N High St
Columbus, OH 43201-2460
Phone
(614) 299-6600
Fax
(614) 298-2224
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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 I.0900238 OH Primary

Addresses

Primary practice location

1301 N High St
Columbus, OH 43201-2460

Mailing address

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

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

LicenseStateTypeSpecialty
I.0900238OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1003140286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-298-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-298-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DALE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.