Individual provider Active NPI

Robert Francis Smith, LSW, CAC

  • Clinical Social Worker
  • Norristown, PA
National Provider Identifier
1124018718
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW010318L Issued in PA
Practice address
2500 Dekalb Pike
Suite 206, the Cottage
Norristown, PA 19401-2007
Phone
(484) 686-4903
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW010318L PA Primary

Addresses

Primary practice location

2500 Dekalb Pike
Suite 206, the Cottage
Norristown, PA 19401-2007

Mailing address

740 School Line Dr
King of Prussia, PA 19406-3511
Phone (484) 686-4903

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
SW010318LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1124018718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SCHOOL LINE DR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063511",
            "telephone_number": "484-686-4903",
            "fax_number": "610-491-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE",
            "address_2": "SUITE 206, THE COTTAGE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "484-686-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LSW, CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW010318L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.