Individual provider Active NPI

Tiffany R Smith-Hurt, L.C.S.W.

  • Clinical Social Worker
  • Del Rio, TX
National Provider Identifier
1043540180
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013538 Issued in IL
Practice address
590 Mitchell Blvd
Del Rio, TX 78843-5242
Phone
(830) 298-6231
Fax
(830) 298-6477
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.013538 IL Primary

Addresses

Primary practice location

590 Mitchell Blvd
Del Rio, TX 78843-5242

Mailing address

8027A Pushkar St
Del Rio, TX 78840-2752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.013538ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1043540180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027A PUSHKAR ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MITCHELL BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788435242",
            "telephone_number": "830-298-6231",
            "fax_number": "830-298-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HURT",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.