Kathleen Smith, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW130561 Issued in PA

Practice address

100 W Sixth St
Suite 305
Media, PA 19063-2428

Phone

(484) 445-4147

Fax

(484) 445-4149

NPI assigned

Nov 24, 2014

Sex

Female

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MG Therapeutic Services LLCGroup PAC ID 7517187115, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MG Therapeutic Services LLC

  • Clinical Psychologist
  • Media, PA
  • NPI 1578971750
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1033516786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PARK VALLEI LN",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153323",
            "telephone_number": "610-836-1450",
            "fax_number": "484-445-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SIXTH ST",
            "address_2": "SUITE 305",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632428",
            "telephone_number": "484-445-4147",
            "fax_number": "484-445-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Sklar, NRP
• Lori Skucas, PSYD
• Kristen Elizabeth Smalarz Dwinnells, RD LDN
• Christina A Small, CRNP
• Jesseca Smith, PSY.D.
• Kathy M. Smith, B.A
• Kenneth J Smith, DDS
• Mary Therese Smith, BSN, RNC-NIC, IBCLC
• Maryrose W Smith, LCSW
• Richard David James Smith

• Social Worker in Media, PA
• Providers in Media, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.