Active NPI
Karen Denise Smith, LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1093953242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005023
- Practice address
- 1017 Hope Mills Rd
Fayetteville, NC 28304-4234 - Phone
- (910) 491-6011
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005023 | NC | Primary |
Addresses
Primary practice location
1017 Hope Mills Rd
Fayetteville, NC 28304-4234
Mailing address
685 Oak Hill Rd
Pittsboro, NC 27312-7079
Phone (919) 942-2345
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005023 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossbeam Counseling Centers | Clinical | Current | Accepting new patients |
Locations
1017 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 491-6011
Organizations & group practices 1
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": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1093953242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 OAK HILL RD",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273127079",
"telephone_number": "919-942-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044234",
"telephone_number": "910-491-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAREN",
"middle_name": "DENISE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-27",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.