Merlene Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2100 SE Hillmoor Dr Ste 104
Port St Lucie, FL 34952-8057

Phone

(772) 380-9972

Fax

(772) 380-9976

NPI assigned

Dec 24, 2019

Last updated

Dec 13, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Easter Seals Florida, Inc.

  • Case Management Agency
  • Port St Lucie, FL
  • NPI 1134245889
  NPD
• Easter Seals Florida, Inc.

  • Early Intervention Provider Agency
  • Port St Lucie, FL
  • NPI 1215683636
  NPD

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1083253934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE HILLMOOR DR STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528057",
            "telephone_number": "772-380-9972",
            "fax_number": "772-380-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE HILLMOOR DR STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528057",
            "telephone_number": "772-380-9972",
            "fax_number": "772-380-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MERLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Smith
• Linda A Smith, L.C.S.W.
• Malik Smith
• Mara Smith, RD, LDN
• Martina Smith
• Susan Smith
• Tiana Smith
• SMR Medical Corp
• SNH Fla Tenant LLC (The Palms of St. Lucie West)
• SNH SE Tenant TRS, Inc (The Gardens of Port St. Lucie)

• Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.