Individual provider Active NPI

Nakicia Smith, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1144975780
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7254 Issued in TN
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

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000168 TN Practitioner - Clinical Social Worker 4789109273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7254TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Feb 1, 2025 Accepting new patients
You Can Sit With US Clinical PastSince Jun 29, 2025 Accepting new patients
Forward Counseling, PLC Clinical PastSince Jan 15, 2020 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.

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

Verify at the official NPI Registry.