Individual provider Active NPI

Eric K. Smemo, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1083754097
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60262165 Issued in WA
Practice address
3645 E McLeod Rd
Bellingham, WA 98226-8700
Phone
(360) 676-2220
Fax
(360) 676-7750
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60262165 WA Primary

Addresses

Primary practice location

3645 E McLeod Rd
Bellingham, WA 98226-8700

Mailing address

1388 Nigel Rd Apt 4
Bellingham, WA 98226-6852
Phone (218) 731-1160

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60262165WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota Past Accepting new patients
Lutheran Social Service of Minnesota PastSince May 2, 2024 Accepting new patients

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1083754097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 NIGEL RD APT 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266852",
            "telephone_number": "218-731-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 E MCLEOD RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268700",
            "telephone_number": "360-676-2220",
            "fax_number": "360-676-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEMO",
        "first_name": "ERIC",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60262165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.