Luther Ray Smith, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004036403 Issued in MO

Practice address

1531 E Sunshine St Ste W29
Springfield, MO 65804-1237

Phone

(417) 887-9950

NPI assigned

Jan 20, 2009

Sex

Male

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

State licenses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1053558536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE W29",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-887-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE W29",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-887-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LUTHER",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004036403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela Anne Smith, FNP
• Leslie Smith, LCSW
• Lin Wang Smith, LPC
• Linsey Smith, MS, ATC
• Luke George Foley Smith, M.D.
• Madisen Smith, RD
• Madison Smith, M.S., L.A.C
• Marla C Smith, O.D.
• Marsha Carol Smith, LPC
• Matthew John Smith

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, 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 Jan 20, 2009; 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.