Active NPI
Nancy Sue Williamson Smith, LCSW
- Clinical Social Worker
- Altamonte Springs, FL
National Provider Identifier
1013955384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2915
- Practice address
- 455 Douglas Ave
Ste.2255M
Altamonte Springs, FL 32714-2569 - Phone
- (407) 682-6992
- Fax
- (407) 788-3075
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | SW2915 | FL | Primary |
Addresses
Primary practice location
455 Douglas Ave
Ste.2255M
Altamonte Springs, FL 32714-2569
Mailing address
1013 Cathy Dr
Altamonte Springs, FL 32714-7216
Phone (407) 788-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060831000105 | FL | Practitioner - Clinical Social Worker | 4284638412 | Practice locations: Altamonte SPG, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
377 Maitland Ave
Suite 1006
Altamonte SPG, FL 32701-5442
Phone (407) 247-4533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- FL PPO
- Freedom Health HMO Network
- FL HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1013955384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 CATHY DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147216",
"telephone_number": "407-788-3075",
"fax_number": "407-788-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 DOUGLAS AVE",
"address_2": "STE.2255M",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142569",
"telephone_number": "407-682-6992",
"fax_number": "407-788-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NANCY",
"middle_name": "SUE WILLIAMSON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.