Individual provider Active NPI

Nancy Sue Williamson Smith, LCSW

  • Clinical Social Worker
  • Altamonte Springs, FL
National Provider Identifier
1013955384
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2915 Issued in FL
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

Updated by the provider on Nov 10, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.