Cedric Albert Smith Jr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0002544 Issued in OH

Practice address

3214 Prospect Ave E
Cleveland, OH 44115-2614

Phone

(216) 910-9015

Fax

(216) 910-9015

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1013587104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152614",
            "telephone_number": "216-910-9015",
            "fax_number": "216-910-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152614",
            "telephone_number": "216-910-9015",
            "fax_number": "216-910-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CEDRIC",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cleveland",
            "affiliation": "N",
            "endpointDescription": "www.peopleplacesanddreams.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3214 Prospect Ave E",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441152614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline E Smith
• Carson Douglas Smith, MD
• Cassandra K Smith, RN
• Cassidy Smith, RBT
• Cecelia Smith
• Chamaria Dena Smith
• Chammeeka Smith, CNA,STNA,CPR,BLS
• Chantelle N Smith
• Chantilly A Smith
• Chanze Unique Smith, LISW

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.