Alexander Smith, LCSW, BCABA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11223 Issued in FL

Practice address

8910 N Dale Mabry Hwy Ste 12
Tampa, FL 33614-1580

Phone

(813) 422-0073

Fax

(813) 931-4609

NPI assigned

Mar 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1362873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1114268521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY STE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141580",
            "telephone_number": "813-422-0073",
            "fax_number": "813-931-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY STE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141580",
            "telephone_number": "813-422-0073",
            "fax_number": "813-931-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCSW, BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-10",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-07-2351",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11223",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "977926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766714100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Harden Smith-Beatty
• Diana Marie Smith-Scriven, L.C.S.W.
• Sherry Denise Smith-Williams, ARNP
• Alan Richard Smith, M.D.
• Aldenceise Smith
• Alexis Eileen Smith, BEHAVIOR TECHNICIAN
• Alyssa Suzette Smith, BA
• Amanda G Smith, MD
• Amari Smith
• Amy Christine Smith

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.