Individual provider Active NPI

Linda Georgette Smith, LCSW, LPC

  • Clinical Social Worker
  • Warrensburg, MO
National Provider Identifier
1073678876
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004173 Issued in MO
Practice address
123 E Gay St
Warrensburg, MO 64093-1809
Phone
(660) 747-9242
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000272 MO
Mental Health Counselor 101YM0800X 000272 MO
Professional Counselor 101YP2500X 000272 MO
Clinical Social Worker 1041C0700X 004173 MO Primary

Addresses

Primary practice location

123 E Gay St
Warrensburg, MO 64093-1809

Mailing address

2713 Shelby St
Higginsville, MO 64037-2079
Phone (660) 584-3043

Other identifiers 3

IdentifierTypeStateIssuer
2004505OtherMOCIGNA PROVIDER #
210121OtherMOMHN PROVIDER #
24930021OtherMOBC PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001458 MO Practitioner - Clinical Social Worker 2668460262 Practice locations: Higginsville, MO; Warrensburg, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 E Gay St
Warrensburg, MO 64093-1848
Phone (660) 747-9242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000272MOMDCounselor
004173MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grace Ministries, Inc Professional PastSince Jan 1, 2013 Accepting new patients
Psychiatry Associates of Kansas City PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1073678876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 SHELBY ST",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640372079",
            "telephone_number": "660-584-3043",
            "fax_number": "660-584-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E GAY ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931809",
            "telephone_number": "660-747-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDA",
        "middle_name": "GEORGETTE",
        "credential": "LCSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "000272",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "000272",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "000272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "2004505",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER #",
            "identifier": "210121",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER #",
            "identifier": "24930021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.