Donita L Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016352 Issued in NC

Practice address

107 Brookside Way # 1067
Pikeville, NC 27863-8480

Phone

(528) 833-1472

Fax

(252) 439-0900

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

No

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 NC

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, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 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.

• Pathway to Eden

  • Clinical Social Worker
  • Pikeville, NC
  • NPI 1073340592
  Medicare reassignment NPD Authorized official
• Second Chance Behavioral Health

  • Mental Health Counselor
  • New Bern, NC
  • NPI 1205341112
  Medicare reassignment Care Compare group NPD
• Restoration Family Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
  • NPI 1396921201
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1033758693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BROOKSIDE WAY",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638480",
            "telephone_number": "252-883-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BROOKSIDE WAY # 1067",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638480",
            "telephone_number": "528-833-1472",
            "fax_number": "252-439-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONITA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgeline Pikeville LLC
• Kelly Allen Rose, LCMHCA, CRC
• S.T.a.N.D...Ing, Inc
• Kathryn Dunham Scott, MS BCBA
• Staci Lynne Short, PT
• Jamie Stephens
• Therapeutic Treasures Mental Health Counseling and Consultation
• Thigpen Pharmacy, Inc
• Tamara Vazquez
• Lillian Vinson

• Clinical Social Worker in Pikeville, NC
• Providers in Pikeville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.