Theresa Smith, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7456 Issued in KS

Practice address

313 S Market St
Wichita, KS 67202-3805

Phone

(316) 265-9441

Fax

(316) 265-6066

NPI assigned

Jun 3, 2021

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

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 and National Provider Directory roles.

• Harry Hynes Memorial Hospice, Inc.

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1487638508
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1093381634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143821",
            "country_code": "US",
            "telephone_number": "316-261-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THERESA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamari Smith
• Stacey N Smith, DPT
• Tashina Smith, SLP
• Taylor Kathleen Smith, PHARMD
• Taylor Marie Smith
• Tierra Giscelle Smith, LPC
• Tonya Smith, LMSW
• Tracy D Smith, APRN
• Vicki S Smith, SLP, CCC
• Victoria L Smith, PT

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.