Dakota Nicole Smith, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014408 Issued in NC

Practice address

172 S Clement St
Mocksville, NC 27028-2336

Phone

(336) 753-6440

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1154954832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 S CLEMENT ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282336",
            "telephone_number": "336-753-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAKOTA",
        "middle_name": "NICOLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Stallings Shelburne, PHARMD
• Elaine Shelton
• April Dawn Shore, NP
• Christine Marie Stoehr Shugart, MD
• Smith Grove United Methodist Church
• Gigi Angelica Smith, M.D.
• Tamara Jean Smith, PT
• Solid Ground Counseling, PLLC
• Kellie Duvall Souther
• Taylor Nichole Sparks

• Clinical Social Worker in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.