Deborah Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255177 Issued in KY

Practice address

950 S 1St St
Louisville, KY 40203-2202

Phone

(502) 585-9444

Fax

(502) 585-9476

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgehaven, Inc.

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1093823817
  NPD
• US Psychiatry PLLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1902255359
  NPD (past)

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1073226924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032202",
            "telephone_number": "502-585-9444",
            "fax_number": "502-585-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032202",
            "telephone_number": "502-585-9444",
            "fax_number": "502-585-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093823817",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bconley@bridgehaven.org",
            "affiliation": "N",
            "address_1": "950 S 1st St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402032202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana R Smith, CRNA
• Danah R Smith, BA
• Darlinda D. Smith, A.T.,C., R.N., APRN
• David Howard Smith, D.M.D.
• David V Smith, ED,D
• Deborah Smith, APRN
• Debra A Smith, DO, MIHM, MBA
• Demetria Nakia Smith
• Denielle Smith
• Destinee Smith

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.