Active NPI
Crystal Smithers
- Social Worker
- Deland, FL
National Provider Identifier
1134579063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1450 S Woodland Blvd Ste 200a
Deland, FL 32720-7547 - Phone
- (386) 873-3658
- Fax
- (386) 790-1037
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1450 S Woodland Blvd Ste 200a
Deland, FL 32720-7547
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 873-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1134579063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-873-3658",
"fax_number": "386-738-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S WOODLAND BLVD STE 200A",
"city": "DELAND",
"state": "FL",
"postal_code": "327207547",
"telephone_number": "386-873-3658",
"fax_number": "386-790-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHERS",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.