Individual provider Active NPI

Melissa Smetzer, LCSW

  • Clinical Social Worker
  • Safety Harbor, FL
National Provider Identifier
1124648803
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20039 Issued in FL
Practice address
108 4TH Ave S
Safety Harbor, FL 34695-4020
Phone
(813) 720-7411
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW20039 FL Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

108 4TH Ave S
Safety Harbor, FL 34695-4020

Mailing address

108 4TH Ave S
Safety Harbor, FL 34695-4020
Phone (813) 473-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230307000416 FL Practitioner - Clinical Social Worker 9335512656 Reassigns benefits to 1 organization
I20260429004161 CA Practitioner - Clinical Social Worker 9335512656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bailey Psychology Group P aGroup PAC ID 1951626316, 3 clinicians

Practice addresses (Care Compare)

111 W Ocean Blvd
Suite 400
Long Beach, CA 90802-4633
Phone (310) 913-1136

2505 Enterprise Rd
Clearwater, FL 33763-1100
Phone (813) 720-7411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Psychology Group P a CurrentSince Jan 1, 2023 Accepting new patients

Locations

111 W Ocean Blvd
Ste 400
Long Beach, CA 90802
Phone (562) 786-6557

2505 Enterprise Rd
Clearwater, FL 33763

108 4th Ave S
Ste B
Safety Harbor, FL 34695
Phone (813) 720-7411

108 4th Ave S
Safety Harbor, FL 34695
Phone (727) 793-9177

Organizations & group practices 1

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1124648803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954020",
            "telephone_number": "813-473-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954020",
            "telephone_number": "813-720-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETZER",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20039",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.