Individual provider Active NPI

Richelle Lafaye Smallwood, LCSW

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1124408190
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011004 Issued in NC
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

Updated by the provider on Jan 20, 2024

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 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

IdentifierTypeStateIssuer
19DCNOtherNCBCBS OF NC
1124408190MedicaidNC
Q58738BOtherNCMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108000008 NC Practitioner - Clinical Social Worker 2860751427 Reassigns benefits to 3 organizations

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
MonarchGroup PAC ID 0244273852, 92 clinicians

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

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC Clinical CurrentSince May 24, 2021 Accepting new patients
Monarch CurrentSince Jul 1, 2025 Accepting new patients
Metropolitan Community Health Services, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Monarch Current Accepting new patients
Metropolitan Community Health Services, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Metropolitan Community Health Services, Inc Current Accepting new patients
Monarch CurrentSince Jul 1, 2025 Accepting new patients
Providential Care: Center for Mental Wellness, PLLC Clinical CurrentSince Jan 21, 2024 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince May 24, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.