Active NPI
Erin Smith, LCSW
- Social Worker
- Allendale, NJ
National Provider Identifier
1073103750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC05867800
- Practice address
- 1 De Mercurio Dr
Allendale, NJ 07401-1717 - Phone
- (862) 283-0828
- NPI assigned
- Jan 26, 2021
- Last updated
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC05867800 | NJ | Primary |
Addresses
Primary practice location
1 De Mercurio Dr
Allendale, NJ 07401-1717
Mailing address
145 Pascack Rd
Hillsdale, NJ 07642-1324
Other practice location 1
145 Pascack Rd
Hillsdale, NJ 07642-1324
Phone (201) 390-8536
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05867800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1073103750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 PASCACK RD",
"city": "HILLSDALE",
"state": "NJ",
"postal_code": "076421324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DE MERCURIO DR",
"city": "ALLENDALE",
"state": "NJ",
"postal_code": "074011717",
"telephone_number": "862-283-0828"
}
],
"practiceLocations": [
{
"address_1": "145 Pascack Rd",
"address_purpose": "LOCATION",
"city": "Hillsdale",
"state": "NJ",
"postal_code": "076421324",
"country_code": "US",
"telephone_number": "201-390-8536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ERIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC05867800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allendale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.