Individual provider Active NPI

Julie Gay Smith, MSSW, LMSW

  • Clinical Social Worker
  • North Richland Hills, TX
National Provider Identifier
1114794690
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64638 Issued in TX
Practice address
5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686
Phone
(817) 576-2447
Fax
(844) 273-0993
NPI assigned
Dec 5, 2023
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 64638 TX
Clinical Social Worker 1041C0700X 64638 TX Primary

Addresses

Primary practice location

5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686

Mailing address

5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686
Phone (817) 576-2447

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

LicenseStateTypeSpecialty
64638TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Knight NHCC of NRH LLC Clinical CurrentSince Dec 10, 2023 Accepting new patients

Locations

5424 Rufe Snow Dr
Ste 304
North Richland Hills, TX 76180
Phone (817) 576-2447

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1114794690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 304",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806686",
            "telephone_number": "817-576-2447",
            "fax_number": "844-273-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 304",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806686",
            "telephone_number": "817-576-2447",
            "fax_number": "844-273-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "GAY",
        "credential": "MSSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "64638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

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.