NPIMap

Organization Active NPI

Suzette Smith LCSW Inc

  • Clinical Social Worker
  • Panama City, FL
National Provider Identifier
1023339579
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9170 Issued in FL
Legal business name
SUZETTE SMITH LCSW INC
Practice address
1103 Fortune Ave
Panama City, FL 32401-1831
Phone
(850) 769-6188
Fax
(850) 769-2366
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Ms. Suzette Marie Smith, LCSW
Title
LCSW
Phone
(850) 769-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9170 FL Primary

Addresses

Primary practice location

1103 Fortune Ave
Panama City, FL 32401-1831

Mailing address

1103 Fortune Ave
Panama City, FL 32401-1831
Phone (850) 769-6188

National Provider Directory

National Provider Directory

Locations

1103 Fortune Ave
Panama City, FL 32401
Phone (850) 769-6188

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1023339579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZETTE SMITH LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "850-769-6188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.