Active NPI
Shayveyanna Smith, MSW
- Social Worker
- Danville, IL
National Provider Identifier
1114458486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 210 Avenue C
Danville, IL 61832-5410 - Phone
- (217) 442-3200
- Fax
- (217) 442-7460
- NPI assigned
- Mar 27, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
210 Avenue C
Danville, IL 61832-5410
Mailing address
210 Avenue C
Danville, IL 61832-5410
Phone (217) 442-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251103001909 | IL | Practitioner - Clinical Social Worker | 7810486404 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosspoint Human Services | Social Worker | Current | Accepting new patients |
| Crosspoint Human Services | Past | Accepting new patients |
Locations
210 Avenue C
Danville, IL 61832
Phone (217) 442-3200
309 N Logan Ave
Danville, IL 61832
Phone (217) 431-1785
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, IL
- NPI 1538254214
IL, Social Worker
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, IL
- NPI 1134416381
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crosspoint Human Services
Practice addresses (Care Compare)
309 Logan Ave
Danville, IL 61832-5613
Phone (217) 431-1784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1114458486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 AVENUE C",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325410",
"telephone_number": "217-442-3200",
"fax_number": "217-442-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 AVENUE C",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325410",
"telephone_number": "217-442-3200",
"fax_number": "217-442-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAYVEYANNA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.