Shannon Elizabeth Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006038495 Issued in MO

Practice address

212 W Red Bridge Rd
Kansas City, MO 64114-5136

Phone

(816) 942-8772

NPI assigned

Mar 24, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1033640644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W RED BRIDGE ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145136",
            "telephone_number": "816-942-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W RED BRIDGE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145136",
            "telephone_number": "816-942-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006038495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sada Smith
• Samantha Paige Smith, PA-C
• Sarah Elizabeth Smith, NP-C
• Sarah Frances Smith, LMT
• Savanna Jo Smith, PHARMD
• Sherita E Smith, LMSW
• Shjade Carolina Smith, APRN, CNP
• Sierra Smith, MOT OTR/L
• Stephen M Smith, BS PHARM, RPH
• Steven Smith

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.