Active NPI
Alexander C. Smith LCSW Bcaba
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1134548837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11223
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-07-2351 | FL | |
| Social Worker | 104100000X | 069781 | NY | |
| Clinical Social Worker | 1041C0700X | SW11223 | FL | Primary |
| School Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 766714100 | Medicaid | FL | |
| HK291A | Other | FL | MEDICAIRE PTAN |
| 1114268521 | Other | FL | INDIVIDUAL NPI |
Other names 1
- Assessment, Behavioral & Counseling Services
National Provider Directory
National Provider DirectoryNPI 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.