Active NPI
Christopher Phillip Smith, L.C.S.W.
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1124185152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016085
- Practice address
- 1900 Murray Ave
Suite 205
Pittsburgh, PA 15217-1657 - Phone
- (412) 956-3482
- Fax
- (412) 421-2750
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW005402E | PA | |
| Clinical Social Worker | 1041C0700X | CW016085 | PA | Primary |
Addresses
Primary practice location
1900 Murray Ave
Suite 205
Pittsburgh, PA 15217-1657
Mailing address
1402 Browning Rd
Pittsburgh, PA 15206-1738
Phone (412) 665-0506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286363 | Other | PA | HIGHMARK PROVIDER NUMBER |
| 218644 | Other | PA | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20130808000021 | PA | Practitioner - Clinical Social Worker | 3274775028 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW005402E | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1124185152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 BROWNING RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152061738",
"telephone_number": "412-665-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MURRAY AVE",
"address_2": "SUITE 205",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171657",
"telephone_number": "412-956-3482",
"fax_number": "412-421-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "PHILLIP",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW005402E",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "286363",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "218644",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.