Kyle Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4430C Issued in AL

Practice address

542 W Cleveland Ave
Florence, AL 35630-2046

Phone

(256) 762-3964

NPI assigned

May 12, 2023

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

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1023708997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W CLEVELAND AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302046",
            "telephone_number": "256-762-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W CLEVELAND AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302046",
            "telephone_number": "256-762-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4430C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Smith
• Courtney Smith
• Damon Quinn Smith, LICSW
• Edward Wilder Smith Jr., D.M.D.
• J D Smith, DPM
• Leah Elder Smith, LICSW
• Martin J Smith, MD
• Morgan Smith
• Sean Smith
• Shirley Ann Smith, OTR

• Clinical Social Worker in Florence, AL
• Providers in Florence, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.