Active NPI
Nakicia Smith, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1144975780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7254
- Practice address
- 49 N Dunlap St # 288
Memphis, TN 38103-2802 - Phone
- (901) 287-7884
- NPI assigned
- Feb 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7254 | TN | Primary |
Addresses
Primary practice location
49 N Dunlap St # 288
Memphis, TN 38103-2802
Mailing address
4003 Tonya Marie CV N
Bartlett, TN 38135-9190
Phone (901) 412-8472
Other practice location 1
4646 Poplar Ave Ste 302
Memphis, TN 38117-4433
Phone (901) 930-7397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7254 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients | |
| You Can Sit With US | Clinical | Past | Accepting new patients |
| Forward Counseling, PLC | Clinical | Past | Accepting new patients |
Locations
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Clinical Social Worker
- Memphis, TN
- NPI 1407266323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1144975780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4003 TONYA MARIE CV N",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381359190",
"telephone_number": "901-412-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 N DUNLAP ST # 288",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032802",
"telephone_number": "901-287-7884"
}
],
"practiceLocations": [
{
"address_1": "4646 Poplar Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381174433",
"country_code": "US",
"telephone_number": "901-930-7397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "NAKICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.