Donna E. Smith, LSW, LCADC, ICADC,

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05395600 Issued in NJ

Practice address

22 Mellon Ave
West Orange, NJ 07052-2321

Phone

(973) 641-2298

Fax

(973) 755-0242

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

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.

• Expressions Behavioral Health Services

  • Clinical Social Worker
  • East Orange, NJ
  • NPI 1144695701

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Expressions Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
  • NPI 1386001469
  NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1114110699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WASHINGTON AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362947",
            "telephone_number": "973-641-2298",
            "fax_number": "973-755-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MELLON AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522321",
            "telephone_number": "973-641-2298",
            "fax_number": "973-755-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONNA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LSW, LCADC, ICADC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00124200",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05395600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyheart Counseling LLC
• William C Sloan, M.D.
• Lucy Slutsky, DMD
• Carolyn Marie Smaka, AU.D.
• Melissa Ann Smirnow, PA-C
• Hannah Smith, AUD
• Kaitlin Teresa Smith, PA-C
• Kayleigh Rey Smith
• Talnisha Smith, LPC
• Whitney Brooke Smith, DPT

• Social Worker in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.