Individual provider Active NPI

Alan P Smith, LCSW

  • Clinical Social Worker
  • Rockledge, FL
National Provider Identifier
1093821043
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12016 Issued in FL
Practice address
2588 Addington Cir
Rockledge, FL 32955-6509
Phone
(321) 757-4030
Fax
(321) 369-9836
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008703 NC
Clinical Social Worker 1041C0700X R040648-1 NY
Clinical Social Worker 1041C0700X SW12016 FL Primary

Addresses

Primary practice location

2588 Addington Cir
Rockledge, FL 32955-6509

Mailing address

7777 N. Wickham Road
Suite 12 PMB 501
Melbourne, FL 32940-7522
Phone (321) 757-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150130000832 FL Practitioner - Clinical Social Worker 6406742634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rockledge, FL 32955
Phone (321) 757-4030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SW12016FLMDClinical Social Worker
C008703NCMDClinical Social Worker
R040648-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alan P. Smith LCSW, PLLC Clinical CurrentSince May 4, 2022 Accepting new patients
J Michel Associate Clinical Past Accepting new patients

Locations

3270 Suntree Blvd
Ste 207
Melbourne, FL 32940
Phone (321) 615-0990

7777 N Wickham Rd
Ste 12
Melbourne, FL 32940
Phone (321) 728-1996

3270 Suntree Blvd
Ste 127
Melbourne, FL 32940
Phone (321) 372-8608

Networks

  • Freedom Health HMO Network

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1093821043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 N. WICKHAM ROAD",
            "address_2": "SUITE 12 PMB 501",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407522",
            "telephone_number": "321-757-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 ADDINGTON CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556509",
            "telephone_number": "321-757-4030",
            "fax_number": "321-369-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008703",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040648-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.