Individual provider Active NPI

Todd Andrew Smith, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1154500874
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
96468 Issued in CA
Practice address
2500 E Foothill Blvd Ste 300
Pasadena, CA 91107-7102
Phone
(626) 993-3000
Fax
(626) 993-3084
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW73095 CA
Clinical Social Worker 1041C0700X 96468 CA Primary

Addresses

Primary practice location

2500 E Foothill Blvd Ste 300
Pasadena, CA 91107-7102

Mailing address

897 Granite Dr
Pasadena, CA 91101-3501
Phone (626) 993-3000

Other identifiers 1

IdentifierTypeStateIssuer
ASW73095MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
ASW73095CAMDMental Health Counselor
96468CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Family Service CurrentSince Sep 6, 2020 Accepting new patients

Locations

897 Granite Dr
Pasadena, CA 91101
Phone (626) 349-3838

2500 E Foothill Blvd
Ste 300
Pasadena, CA 91107
Phone (626) 564-1613

Organizations & group practices 1

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1154500874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 GRANITE DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013501",
            "telephone_number": "626-993-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077102",
            "telephone_number": "626-993-3000",
            "fax_number": "626-993-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW73095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASW73095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.