Deanna Lee Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10834624-3501 Issued in UT

Practice address

5411 S Vine St Unit 6
Salt Lake City, UT 84107-7746

Phone

(435) 625-1717

NPI assigned

Apr 16, 2018

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1043707136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 S MEADOW DOWNS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212807",
            "telephone_number": "801-358-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S VINE ST UNIT 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077746",
            "telephone_number": "435-625-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1459 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106092",
            "country_code": "US",
            "telephone_number": "801-298-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEANNA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10834624-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Smith
• David George Smith
• David Leslie Smith
• David O Smith, D.M.D.
• David Warner Smith, MD
• Deborah Sue Smith, APRN, FNP
• Devin John Smith
• Diana Smith
• Dixyann Smith, RN, BSN, MSN
• Douglas L Smith, MD

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.