Active NPI
Alan P Smith, LCSW
- Clinical Social Worker
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12016
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12016 | FL | MD | Clinical Social Worker |
| C008703 | NC | MD | Clinical Social Worker |
| R040648-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan P. Smith LCSW, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Rockledge, FL
- NPI 1740685171
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.