Christopher Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05284600 Issued in NJ

Practice address

10 Delmar Ave
Glen Rock, NJ 07452-3004

Phone

(201) 445-6758

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154440063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DELMAR AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523004",
            "telephone_number": "201-445-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DELMAR AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523004",
            "telephone_number": "201-445-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05284600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Robert Short
• Lawrence Simon, DDS
• Harmeet Singh, MD
• Jenica Aleyna Siniscalco, LCSW
• Allyn A Sison, RPT
• Sovereign Medical Group, LLC
• Sovereign Medical Management, LLC
• Sowadauth, Inc.
• Gregory Spatz, PT, DPT, PRC, CSCS
• Speak Clearly LLC

• All providers in Glen Rock, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.