Active NPI
Richelle Lafaye Smallwood, LCSW
- Clinical Social Worker
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011004
- Practice address
- 3340B Ellsworth Dr
Greenville, NC 27834-4944 - Phone
- (252) 917-8182
- NPI assigned
- Jun 4, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C011004 | NC | Primary |
Addresses
Primary practice location
3340B Ellsworth Dr
Greenville, NC 27834-4944
Mailing address
3340B Ellsworth Dr
Greenville, NC 27834-4944
Phone (252) 917-8182
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19DCN | Other | NC | BCBS OF NC |
| 1124408190 | Medicaid | NC | |
| Q58738B | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Day Psychiatry and Counseling, PC | Clinical | Current | Accepting new patients |
| Monarch | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc. | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc. | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Providential Care: Center for Mental Wellness, PLLC | Clinical | Current | Accepting new patients |
| Best Day Psychiatry and Counseling, PC | Current | Accepting new patients | |
| Monarch | Past | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545
1510 E Arlington Blvd
Ste B
Greenville, NC 27858
Phone (252) 375-3322
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
120 W Martin Luther King Jr Dr
Washington, NC 27889
Phone (252) 644-7003
120 W Martin Luther King Jr Dr
#J
Washington, NC 27889
Phone (252) 940-0602
Interoperability endpoints
- richelle.smallwood.1@24284.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Prescribing (Medical) Psychologist
- Fayetteville, NC
- NPI 1477506343
Clinical
-
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1366488280
-
- Clinical Social Worker
- Greenville, NC
- NPI 1750034294
-
- Orthopaedic Surgery Physician
- Williamston, NC
- NPI 1295515260
-
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1891590444
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1457662843
-
- Psychiatry Physician
- Mt Pleasant, SC
- NPI 1467291542
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1831465442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1124408190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340B ELLSWORTH DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344944",
"telephone_number": "252-917-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340B ELLSWORTH DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344944",
"telephone_number": "252-917-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "RICHELLE",
"middle_name": "LAFAYE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19DCN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124408190",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q58738B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.