Colleen Elizabeth Smith, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW 8149 Issued in FL

Practice address

1010 E Rose St
Attn Colleen Smith
Lakeland, FL 33801-2016

Phone

(863) 413-2136

Fax

(863) 413-3146

NPI assigned

Jul 16, 2013

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

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1043651219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E ROSE ST",
            "address_2": "ATTN COLLEEN SMITH",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012016",
            "telephone_number": "863-413-2136",
            "fax_number": "863-413-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ROSE ST",
            "address_2": "ATTN COLLEEN SMITH",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012016",
            "telephone_number": "863-413-2136",
            "fax_number": "863-413-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW 8149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Ermita Smith, OTR
• Ann Smith, NP
• Austin Jarrett Smith
• Barbara Smith, APRN
• Barbara W Smith
• Cresendra Smith
• David Smith, DO
• Diana Smith
• Diane Smith, LPN
• Frania Smith

• Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.