Individual provider Active NPI

Terri Woodruff Smith, LCSW

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1114035219
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
800 Issued in KY
Practice address
2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone
(270) 506-2730
NPI assigned
Aug 28, 2006
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 800 KY
Clinical Social Worker 1041C0700X 800 KY Primary
Psychiatry Physician 2084P0800X 149011012 IL

Addresses

Primary practice location

2000 Ring Rd
Elizabethtown, KY 42701-9454

Mailing address

2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone (270) 506-2730

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
0800KYMDProfessional Counselor
800KYMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rohidas T Patil MD SC Psychiatry PastSince Aug 6, 2012 Accepting new patients
John Herington, PC Clinical Past Accepting new patients
Astra Behavioral Health LLC Psychiatry PastSince Jul 20, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1114035219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019454",
            "telephone_number": "270-506-2730",
            "fax_number": "270-900-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019454",
            "telephone_number": "270-506-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERRI",
        "middle_name": "WOODRUFF",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-02-21",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "800",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "149011012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.