Yalily Perez Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14126 Issued in FL

Practice address

303 NE 3Rd Ave Ste 7&8
Cape Coral, FL 33909-2538

Phone

(321) 246-7075

NPI assigned

Aug 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Traveling Therapist LLCGroup PAC ID 2769723402, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Traveling Therapist LLC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1699244640
  Medicare reassignment Care Compare group NPD Authorized official
• Direct Access Counseling & Supportive Services, LLC

  dba Direct Access Counseling and Supportive Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449

  Clinical

  Medicare reassignment NPD
• Calm Waters Counseling Group

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1871326470
  NPD (past)
• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD (past)

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1124543962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SE 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903910",
            "telephone_number": "321-246-7075",
            "fax_number": "800-948-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 7&8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "321-246-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YALILY",
        "middle_name": "PEREZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Smith, D.C.
• Monique Dana Smith, LMFT, IMH
• Nicholas Desmond Smith
• Rachel Creath Smith, PA-C
• Rodney J Smith, O.D.
• SMM Aprn Services
• Marissa Snellinger
• Lianna Snyder, AUD
• Timothy Lawrence Snyder
• Mariolys Socarras-Felipe

• Clinical Social Worker in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.

Verify at the official NPI Registry.