Organization Active NPI

Alexander C. Smith LCSW Bcaba

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1134548837
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11223 Issued in FL
Legal business name
ALEXANDER C. SMITH LCSW BCABA
Practice address
8910 N Dale Mabry Hwy
Suite 12
Tampa, FL 33614-1591
Phone
(813) 422-0073
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Alexander Smith, LCSW, CSSW, BCABA
Title
Executive Director
Phone
(813) 422-0073

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 0-07-2351 FL
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 069781 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW11223 FL Primary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X 977926 FL

Addresses

Primary practice location

8910 N Dale Mabry Hwy
Suite 12
Tampa, FL 33614-1591

Mailing address

8910 N Dale Mabry Hwy
Suite 12
Tampa, FL 33614-1591
Phone (813) 422-0073

Other identifiers 3

IdentifierTypeStateIssuer
766714100MedicaidFL
HK291AOtherFLMEDICAIRE PTAN
1114268521OtherFLINDIVIDUAL NPI

Other names 1

  • Assessment, Behavioral & Counseling Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1134548837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY",
            "address_2": "SUITE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141591",
            "telephone_number": "813-422-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY",
            "address_2": "SUITE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141591",
            "telephone_number": "813-422-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER C. SMITH LCSW BCABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-422-0073",
        "authorized_official_credential": "LCSW, CSSW, BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-07-2351",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "069781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11223",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "977926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766714100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAIRE PTAN",
            "identifier": "HK291A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114268521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assessment, Behavioral & Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.